{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:26:10Z","timestamp":1791829570871,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2008,1,21]],"date-time":"2008-01-21T00:00:00Z","timestamp":1200873600000},"content-version":"vor","delay-in-days":3399,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Australian and New Zealand Journal of Surgery"],"published-print":{"date-parts":[[1998,10]]},"abstract":"<jats:p> <jats:bold>Background<\/jats:bold>: Chronic ambulatory peritoneal dialysis (CAPD) is now an established technique for renal dialysis. Patients with renal failure cope poorly with major surgery and it is vital that the dialysis catheter tip is sited accurately in the pelvis if long\u2010term catheter function is to be achieved. Laparoscopic placement of CAPD catheters may have potential advantages for renal patients by avoiding the morbidity of a laparotomy.<\/jats:p><jats:p> <jats:bold>Methods<\/jats:bold>: A retrospective audit was performed of all CAPD catheters inserted at the John Hunter Hospital over a 2\u2010year period. Results of laparoscopically inserted catheters and those placed at laparotomy were compared.<\/jats:p><jats:p> <jats:bold>Results<\/jats:bold>: Sixty catheters were inserted, 30 laparoscopically and 30 at laparotomy. The mean operative time was 41 min in the laparoscopic patients and 57 min in the laparotomy patients (<jats:italic>P<\/jats:italic>= 0.0001). The mean total dose of narcotic administered postoperatively was significantly less in the laparoscopic group (5 mg <jats:italic>vs<\/jats:italic> 65 mg, <jats:italic>P<\/jats:italic>= 0.00002). There were three minor peri\u2010operative complications in the laparoscopic group and seven peri\u2010operative complications in the laparotomy group, three required reoperation and one resulted in the patient'death. There were no significant differences in the incidence of exit\u2010site infection, catheter blockage, peritonitis, and overall catheter survival, although the laparoscopically placed catheters had been followed up for a shorter period (10 <jats:italic>vs<\/jats:italic> 16 months).<\/jats:p><jats:p> <jats:bold>Conclusions<\/jats:bold>: This laparoscopic technique is safe and effective. Postoperative pain was less than for open placement. Laparoscopically placed catheters had a low incidence of peri\u2010operative complications. Medium\u2010term patency is similar to conventionally placed catheters. This procedure requires no additional equipment to that available for laparoscopic cholecystectomy and takes less time than the open operation.<\/jats:p>","DOI":"10.1111\/j.1445-2197.1998.tb04662.x","type":"journal-article","created":{"date-parts":[[2008,1,21]],"date-time":"2008-01-21T09:19:17Z","timestamp":1200907157000},"page":"735-739","source":"Crossref","is-referenced-by-count":57,"title":["COMPARATIVE EXPERIENCE OF A SIMPLE TECHNIQUE FOR LAPAROSCOPIC CHRONIC AMBULATORY PERITONEAL DIALYSIS CATHETER PLACEMENT"],"prefix":"10.1111","volume":"68","author":[{"given":"B.","family":"Draganic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"James","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Booth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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