World Journal of Laparoscopic Surgery

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VOLUME 16 , ISSUE 3 ( September-December, 2023 ) > List of Articles

Original Article

A Prospective Follow-up Observational Study of Laparoscopic Insertion of CAPD Catheters as a Modality of Management of End-stage Renal Disease (CKD – Stage V)

Taskeen M Sikora, Ravi V Patel, Satish J Deshmane, Shrinivas Ambike

Keywords : Continuous ambulatory peritoneal dialysis catheter, Laparoscopic, Tenckhoff catheter

Citation Information : Sikora TM, Patel RV, Deshmane SJ, Ambike S. A Prospective Follow-up Observational Study of Laparoscopic Insertion of CAPD Catheters as a Modality of Management of End-stage Renal Disease (CKD – Stage V). World J Lap Surg 2023; 16 (3):133-136.

DOI: 10.5005/jp-journals-10033-1593

License: CC BY-NC 4.0

Published Online: 12-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Aim: To study benefits and complications of continuous ambulatory peritoneal dialysis (CAPD) catheter placement laparoscopically with suture fixation technique. Patients and methods: A total of 41 cases of end-stage renal disease [chronic kidney disease (CKD) – Stage V] were admitted in Jehangir Hospital, Pune. Patients were evaluated, after explaining the procedure, the risks and benefits they were prepared for the procedure. Patients were assessed for complications and mortality as well as the reason for discontinuation of CAPD. Results: Of 41 cases studied, 39 (95.2%) had CAPD started, in 1 (2.4%) CAPD was not started and 1 (2.4%) did not have CAPD inserted. Of 41 cases studied, 28 (68.3%) had CAPD continued successfully for 2 years. Of 41 cases studied, 4 (9.8%) had catheter outflow block, 4 (9.8%) had peritonitis, 6 (14.6%) had ultrafiltration failure, 3 (7.3%) had exit site leak, 1 (2.4%) had catheter malposition/kinking, none had incisional hernia, 2 (4.9%) had hemoperitoneum. A total of 10 patients (24.4%) had catheter removed at the end of the study. Conclusion: Approximately, 68% of patients, that is 28 patients out of 41 continued CAPD for 2 years after the catheter was inserted laparoscopically. Out of the 41 patients, 20 patients developed minor complications. Out of the 20 patients, 10 patients developed major complications and needed the catheter to be removed. Mortality was 9.8%, out of which two patients died of sepsis and 2 died of comorbidity-related complications. Clinical significance: Laparoscopic CAPD catheter placement is an effective method and has good success rate with less complications and better patient tolerability.

  1. Popovich RP, Moncrief JW, Nolph KD, et al. Continuous ambulatory peritoneal dialysis. Ann Intern Med 1978;88(4):449–456. DOI: 10.7326/0003-4819-88-4-449.
  2. Khanna R, Oreopoulos DG, Dombros N, et al. Continuous ambulatory peritoneal dialysis (CAPD) after three years: Still a promising treatment. Perit Dial Int 1980;1(4):1–1. DOI:
  3. Crabtree JH, Fishman A. Laparoscopic omentectomy for peritoneal dialysis catheter flow obstruction: A case report and review of the literature. Surg Laparosc Endosc Percutan Tech 1999;9(3):228–233. PMID: 10804009.
  4. Crabtree JH, Fishman A. Videolaparoscopic implantation of long-term peritoneal dialysis catheters. Surg Endosc 1999;13(2):186–190. DOI: 10.1007/s004649900936.
  5. Garcia MAV, Urena MAG, Carnero F, et al. Omental entrapping of the peritoneal dialysis catheter solved by a laparoscopic approach. Perit Dial Int 1997;17(2):194–195. PMID: 9159842.
  6. Ma JJ, Chen XY, Zang L, et al. Laparoscopic peritoneal dialysis catheter implantation with an intra-abdominal fixation technique: A report of 53 cases. Surg Laparosc Endosc Percutan Tech 2013;23(6):513–517. DOI: 10.1097/SLE.0b013e31828fa6ae.
  7. Öğünç G. Videolaparoscopy with omentopexy: A new technique to allow placement of a catheter for continuous ambulatory peritoneal dialysis. Surg Today 2001;31(10):942–944. DOI:
  8. Fenton S, Schaubel DE, Desmeules M, et al. Hemodialysis vs. peritoneal dialysis: A comparison of adjusted mortality rates. Am J Kidney Dis 1997;30(3):334–342. DOI: 10.1016/s0272-6386(97)90276-6.
  9. Malberti F, Conte F, Limido A, et al. Ten years’ experience of renal replacement treatment in the elderly. Geriatr Nephrol Urol 1997; 7(1):1–10. DOI: 10.1023/a:1008251929636.
  10. Jaar BG, Plantinga LC, Crews DC, et al. Timing, causes, predictors and prognosis of switching from peritoneal dialysis to hemodialysis: A prospective study. BMC Nephrol 2009;10(1):1–2. DOI: 10.1186/1471-2369-10-3.
  11. Tsimoyiannis EC, Siakas P, Glantzounis G, et al. Laparoscopic placement of the Tenckhoff catheter for peritoneal dialysis. Surg Laparosc Endosc Percutan Tech 2000;10(4):218–221. PMID: 10961749.
  12. Oğünç G, Tuncer M, Oğünç D, et al. Laparoscopic omental fixation technique vs open surgical placement of peritoneal dialysis catheters. Surg Endosc 2003;17(11):1749–1755. DOI: 10.1007/s00464-002-8586-3.
  13. Oreopoulos DG. Pathogenesis and management of complications of chronic peritoneal dialysis. Nephrol Dial Transplant 2001;16 (Suppl 6):103–105. DOI:
  14. Harel Z, Wald R, Bell C, et al. Outcome of patients who develop early onset peritonitis. Adv Perit Dial 2006;22:46–49. PMID: 16983938.
  15. Lu CT, Watson DI, Elias TJ, et al. Laparoscopic placement of peritoneal dialysis catheter: 7 years experience. ANZ J Surg 2003;73(3):109–111. DOI: 10.1046/j.1445-2197.2003.02651.x.
  16. Ortiz AM, Fernandez MA, Troncoso PA, et al. Outcome of peritoneal dialysis: Tenckhoff catheter survival in a prospective study. Adv Perit Dial 2004;20:145–149. PMID: 15384816.
  17. Ko J, Ra W, Bae T, et al. Two-port laparoscopic placement of a peritoneal dialysis catheter with abdominal wall fixation. Surg Today 2009;39(4):356–358. DOI: 10.1007/s00595-008-3877-5.
  18. Talwar R, Jha A, Madhu G, et al. Comparative study of outcomes following laparoscopic versus open peritoneal dialysis catheter insertion at a tertiary care centre. J Urol Surg 2021;8(1):40–45. DOI:
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