Comparison of the Seldinger technique and surgical technique in Tenckhoff catheter insertion in CAPD patients: a single center experience.

OBJECTIVE

To compare clinical outcomes of catheter placement between surgical technique and Seldinger technique, including catheter survival and early post-operative complications.

MATERIAL AND METHOD

This retrospective study was conducted in Maharaj Nakhon Si Thammarat Hospital, a tertiary-center hospital in southern part of Thailand. Three-year data, during October 2007-2010, were retrieved from medical records and hospital database. Early post-operative complications, including major bleeding, peritoneal leakage, and peritonitis rate, and long-term outcome were assessed.

RESULTS

One hundred forty-nine and 56 out of 205 patients were inserted Tenckhoff catheter by surgical technique and Seldinger technique, accordingly. The average age was 49.8 years old. Sixty percent of them were male. Neither of early postoperative complication and long-term outcome was found to have significant difference. However, patients with surgical technique received more topical antibiotic [15 (10.0%) vs. 0 (0%), p = 0.014] and trended to have more episode of early postoperative peritonitis [15 (10.1%) vs. 3 (5.4%)p = 0.288].

CONCLUSION

Although Seldinger technique is more feasible for practical nephrologists and less time consumption; the success, early post-operative complications, and long term outcome are comparable with surgical technique. The surgeons or nephrologists who perform catheter placement should be aware of catheter-related infection, especially in the first few weeks.