Outcomes of dialysis catheters placed by the Y-TEC peritoneoscopic technique: A single-center surgical experience

Yorg Al Azzi, Etti Zeldis, Girish N. Nadkarni, Harry Schanzer, Jaime Uribarri

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Background: In the last few years, peritoneal dialysis (PD) catheter placement techniques and outcomes have become important because of the growing population of PD patients. Although there are a growing number of catheters placed by the minimally invasive Y-TEC peritoneoscopic technique, there are still limited data on outcomes for these catheters, especially those placed by a surgeon.We aimed to conduct a retrospective study of our experience with PD catheters placed by the Y-TEC peritoneoscopic technique in our institution. Methods: We reviewed patients with peritoneoscopic PD catheter insertion over the last decade and described their complications and outcomes. In a secondary analysis, we compared the outcomes and complications of these catheters with those with open placement placed by the same surgeon. Results: We had complete data on 62 patients with peritoneoscopic catheter placement during the study period. The mean age was 55 years, 48.4% were females and the most common cause of end-stage renal diseasewas diabetes mellitus (33%). Surgical complicationswere seen in only 6/62 (9.6%) and peritonitis in 16/62 (26%) of peritoneoscopic catheters. Most catheterswere used after 2 months of placement, while 12.3%were used within 2 months. When compared with 93 patients with open placement of catheters as a secondary analysis, peritoneoscopic catheters were found to have a higher 2-year survival. Conclusion: Our large series of peritoneoscopically placed catheters by a surgeon demonstrate low surgical complications and peritonitis rates as well as superior 2-year survival compared with open placement of catheters.

Original languageEnglish (US)
Pages (from-to)158-161
Number of pages4
JournalClinical Kidney Journal
Volume9
Issue number1
DOIs
StatePublished - Feb 1 2016
Externally publishedYes

Fingerprint

Dialysis
Catheters
Peritoneal Dialysis
Peritonitis
Survival
Diabetes Mellitus
Retrospective Studies
Kidney

Keywords

  • CAPD
  • catheter
  • peritoneal dialysis
  • peritoneal membrane
  • peritoneoscopy

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

Cite this

Outcomes of dialysis catheters placed by the Y-TEC peritoneoscopic technique : A single-center surgical experience. / Al Azzi, Yorg; Zeldis, Etti; Nadkarni, Girish N.; Schanzer, Harry; Uribarri, Jaime.

In: Clinical Kidney Journal, Vol. 9, No. 1, 01.02.2016, p. 158-161.

Research output: Contribution to journalReview article

Al Azzi, Yorg ; Zeldis, Etti ; Nadkarni, Girish N. ; Schanzer, Harry ; Uribarri, Jaime. / Outcomes of dialysis catheters placed by the Y-TEC peritoneoscopic technique : A single-center surgical experience. In: Clinical Kidney Journal. 2016 ; Vol. 9, No. 1. pp. 158-161.
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abstract = "Background: In the last few years, peritoneal dialysis (PD) catheter placement techniques and outcomes have become important because of the growing population of PD patients. Although there are a growing number of catheters placed by the minimally invasive Y-TEC peritoneoscopic technique, there are still limited data on outcomes for these catheters, especially those placed by a surgeon.We aimed to conduct a retrospective study of our experience with PD catheters placed by the Y-TEC peritoneoscopic technique in our institution. Methods: We reviewed patients with peritoneoscopic PD catheter insertion over the last decade and described their complications and outcomes. In a secondary analysis, we compared the outcomes and complications of these catheters with those with open placement placed by the same surgeon. Results: We had complete data on 62 patients with peritoneoscopic catheter placement during the study period. The mean age was 55 years, 48.4{\%} were females and the most common cause of end-stage renal diseasewas diabetes mellitus (33{\%}). Surgical complicationswere seen in only 6/62 (9.6{\%}) and peritonitis in 16/62 (26{\%}) of peritoneoscopic catheters. Most catheterswere used after 2 months of placement, while 12.3{\%}were used within 2 months. When compared with 93 patients with open placement of catheters as a secondary analysis, peritoneoscopic catheters were found to have a higher 2-year survival. Conclusion: Our large series of peritoneoscopically placed catheters by a surgeon demonstrate low surgical complications and peritonitis rates as well as superior 2-year survival compared with open placement of catheters.",
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AU - Schanzer, Harry

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N2 - Background: In the last few years, peritoneal dialysis (PD) catheter placement techniques and outcomes have become important because of the growing population of PD patients. Although there are a growing number of catheters placed by the minimally invasive Y-TEC peritoneoscopic technique, there are still limited data on outcomes for these catheters, especially those placed by a surgeon.We aimed to conduct a retrospective study of our experience with PD catheters placed by the Y-TEC peritoneoscopic technique in our institution. Methods: We reviewed patients with peritoneoscopic PD catheter insertion over the last decade and described their complications and outcomes. In a secondary analysis, we compared the outcomes and complications of these catheters with those with open placement placed by the same surgeon. Results: We had complete data on 62 patients with peritoneoscopic catheter placement during the study period. The mean age was 55 years, 48.4% were females and the most common cause of end-stage renal diseasewas diabetes mellitus (33%). Surgical complicationswere seen in only 6/62 (9.6%) and peritonitis in 16/62 (26%) of peritoneoscopic catheters. Most catheterswere used after 2 months of placement, while 12.3%were used within 2 months. When compared with 93 patients with open placement of catheters as a secondary analysis, peritoneoscopic catheters were found to have a higher 2-year survival. Conclusion: Our large series of peritoneoscopically placed catheters by a surgeon demonstrate low surgical complications and peritonitis rates as well as superior 2-year survival compared with open placement of catheters.

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