Table 7.
Complications analyzed according to peritoneal dialysis (PD) catheter insertion technique: total cohort
| Outcomes | Total patients (N = 297) | Laparoscopic (n = 194) | Modified Seldinger (n = 103) | P value |
|---|---|---|---|---|
| PD catheter complication (n, %) | 174 (58.6%) | 119 (61.3%) | 55 (53.4%) | 0.1 |
| Infectious complications | ||||
| PD catheter insertion–related peritonitisa (n, %) | 19 (6.4%) | 12 (6.2%) | 7 (6.8%) | 0.8 |
| PD-related peritonitisb (n, %) | 96 (32.3%) | 62 (32.0%) | 34 (33.0%) | 0.9 |
| Time to PD-related peritonitis (d, [SD]) | 241.7 ± 233.6 | 244.5 ± 234.4 | 236.7 ± 235.6 | 0.9 |
| PD catheter insertion–related PD exit site infectionc (n, %) | 21 (7.1%) | 17 (8.8%) | 4 (3.9%) | 0.1 |
| PD exit site infection (n, %) | 80 (26.9%) | 60 (30.9%) | 20 (19.4%) | 0.03d |
| PD catheter insertion–related tunnel infectione (n, %) | 1 (0.3%) | 1 (0.5%) | 0 (0.0%) | 0.7 |
| Tunnel infection (n, %) | 15 (5.1%) | 10 (5.2%) | 5 (4.9%) | 0.6 |
| Mechanical complications | ||||
| Failed insertion (n, %) | 0 (0.0%) | 0 (0.0%) | 0 (0.0%) | |
| Organ injury (n, %) | 1 (0.3%) | 0 (0.0%) | 1 (1.0%) | 0.3 |
| Hemoperitoneum (n, %) | 1 (0.3%) | 0 (0.0%) | 1 (1.0%) | 0.3 |
| Surgical site bleeding (n, %) | 7 (2.4%) | 3 (1.5%) | 4 (3.9%) | 0.2 |
| Pericatheter leak (n, %) | 10 (3.4%) | 6 (3.1%) | 4 (3.9%) | 0.5 |
| Malposition (n, %) | 18 (6.1%) | 12 (6.2%) | 6 (5.8%) | 0.6 |
| Pleuroperitoneal leak (n, %) | 6 (2.0%) | 5 (2.6%) | 1 (1.0%) | 0.3 |
| Other complication (n, %) | 6 (2.1%) | 4 (2.1%) | 2 (2.0%) | 0.6 |
| Bridging hemodialysis due to PD complication (n, %) | 11 (3.7%) | 9 (4.7%) | 2 (1.9%) | 0.2 |
| Need for PD catheter removal (n, %) | 64 (21.5%) | 46 (23.7%) | 18 (17.5%) | 0.1 |
| Permanent transfer to hemodialysis due to PD complicationf (n, %) | 57 (19.4%) | 37 (19.3%) | 20 (19.6%) | 0.5 |
PD, peritoneal dialysis.
Complication episodes according to PD catheter insertion technique. There was no significant between-group difference in complications when comparing laparoscopic and modified Seldinger insertion techniques.
PD catheter insertion-related peritonitis defined as peritonitis occurring within 30 days of PD catheter insertion.15
PD-related peritonitis defined as peritonitis occurring after PD commencement.15
PD catheter insertion–related exit site infection defined as exit site infection occurring within 30 days of PD catheter insertion.16
Non-significant result after accounting for Bonferroni correction due to making multiple comparisons.
PD catheter insertion–related tunnel infection defined as tunnel infection occurring within 30 days of PD catheter insertion.16