Laparoscopic Versus Open Peritoneal Dialysis Catheter Insertion, the LOCI-trial: a Study Protocol

Overview

Journal BMC Surg

Publisher Biomed Central

Specialty General Surgery

Date 2011 Dec 22

PMID 22185091

Citations 10

Authors

Sander M Hagen

Arjan M van Alphen

Jan N M IJzermans

Frank J M F Dor

Affiliations

Soon will be listed here.

Abstract

Background: Peritoneal dialysis (PD) is an effective treatment for end-stage renal disease. It allows patients more freedom to perform daily activities compared to haemodialysis. Key to successful PD is the presence of a well-functioning dialysis catheter. Several complications, such as in- and outflow obstruction, peritonitis, exit-site infections, leakage and migration, can lead to catheter removal and loss of peritoneal access. Currently, different surgical techniques are in practice for PD-catheter placement. The type of insertion technique used may greatly influence the occurrence of complications. In the literature, up to 35% catheter failure has been described when using the open technique and only 13% for the laparoscopic technique. However, a well-designed randomized controlled trial is lacking.

Methods/design: The LOCI-trial is a multi-center randomized controlled, single-blind trial (pilot). The study compares the laparoscopic with the open technique for PD catheter insertion. The primary objective is to determine the optimum placement technique in order to minimize the incidence of catheter malfunction at 6 weeks postoperatively. Secondary objectives are to determine the best approach to optimize catheter function and to study the quality of life at 6 months postoperatively comparing the two operative techniques.

Discussion: This study will generate evidence on any benefits of laparoscopic versus open PD catheter insertion.

Trial Registration: Dutch Trial Register NTR2878.

Citing Articles

Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients.

Briggs V, Jacques R, Fotheringham J, Maheswaran R, Campbell M, Wilkie M Cochrane Database Syst Rev. 2023; 2:CD012478.

PMID: 36810986 PMC: 9946371. DOI: 10.1002/14651858.CD012478.pub2.

Catheter type, placement and insertion techniques for preventing catheter-related infections in chronic peritoneal dialysis patients.

Htay H, Johnson D, Craig J, Schena F, Strippoli G, Tong A Cochrane Database Syst Rev. 2019; 5:CD004680.

PMID: 31149735 PMC: 6543877. DOI: 10.1002/14651858.CD004680.pub3.

Superiority of laparoscopy in the peritoneal dialysis catheter reset surgery.

Chen W, Ding G, Zheng Z, Liu C J Huazhong Univ Sci Technolog Med Sci. 2015; 35(1):71-75.

PMID: 25673196 DOI: 10.1007/s11596-015-1391-8.

The placement of peritoneal dialysis catheters: a prospective randomized comparison of open surgery versus "Mini-Perc" technique.

Zhu W, Jiang C, Zheng X, Zhang M, Guo H, Yan X Int Urol Nephrol. 2014; 47(2):377-82.

PMID: 25395078 DOI: 10.1007/s11255-014-0877-9.

Guidelines for laparoscopic peritoneal dialysis access surgery.

Haggerty S, Roth S, Walsh D, Stefanidis D, Price R, Fanelli R Surg Endosc. 2014; 28(11):3016-45.

PMID: 25294537 DOI: 10.1007/s00464-014-3851-9.

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