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Kidney Week

Abstract: SA-PO705

Right versus Left Insertion of Peritoneal Dialysis Catheters in ESRD Patients by Open Surgical Technique

Session Information

  • Peritoneal Dialysis - II
    November 04, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

  • 608 Peritoneal Dialysis

Authors

  • Lee, Jin ho, Bong Seng Memorial Hospital, Busan, Korea (the Republic of)
  • Hwang, Seon Deok, None, Pusan, Korea (the Republic of)
  • Kim, Hee yeoun, Bong Seng Memorial Hospital, Busan, Korea (the Republic of)
  • Lee, Dongyeol, Bong Seng Memorial Hospital, Busan, Korea (the Republic of)
  • Oh, Joon Seok, Bong Seng Hospital, Korea, Dong-gu, BUSAN, Korea (the Republic of)
  • Sin, Yong hun, Bong Seng Hospital, Busan, Korea (the Republic of)
  • Kim, Joong Kyung, Bong Seng Hospital, Korea, Dong-gu, BUSAN, Korea (the Republic of)
Background

The open surgical technique is a traditional and old method of peritoneal dialysis catheter(PDC) insertion. Left-sided insertion is the same direction as peristalsis, thus reducing the frequency of malposition. However, if surgery is not possible to the left side or suspected adhesion due to previous major surgery, it can be inserted to the right side. In this study, we compared left-side and right-side insertions of peritoneal catheter by surgical technique.

Methods

We retrospectively compared the right approach for PDC insertion by open surgical technique with the left approach. From June 2013 to September 2016, 69 of the catheters were successfully inserted Rt. side and 79 of catheters were inserted Lt. side. Primary outcome was catheter survival. Secondary outcome were peritonitis free survival and exit site infection free survival.

Results

The mean(±SD) age of patients was 63 ± 12 years, the ratio of male to female is 42.6% vs. 57.4%. Of all patients, 55.1% of patients have diabetes and 70.7% have hypertension. The repositioning operation due to malposition was 2 of 66(3%) in Rt. side insertion(RSI) and 3 of 76(3.8%) in Lt. side insertion(LSI)(p=0.30). Exit infection was 6 of 66(9.1%) in RSI and 4 of 76(5.1%) in LSI(p=0.513). Peritonitis was 15 of 66(22.7%) in RSI and 13 of 76(16.5%) in LSI (p=0.401). The catheter survival was not statistically significant for RSI compared to LSI(p=0.126). Catheter survival(Fig.1) and exit site infection free survival were not different between two groups(p=0.432). However, peritonitis free survival of RSI was significantly higher than LSI(p=0.020)(Fig.2).

Conclusion

When the peritoneal dialysis catheter was inserted by open surgical technique, catheter survival was not inferior to the left side insertion on the right side insertion. In addition, peritonitis free survival showed statistically superior results in the right side insertion.