Comparative Analysis of the Association Between Laparoscopic Peritoneal Dialysis Catheter Placement Methods and Anterior Abdominal Wall Complications

BACKGROUND/AIMS: Peritoneal dialysis is a cost-effective treatment method which provides a high quality of life for patients. While laparoscopic peritoneal dialysis catheter placement is generally effective and safe, procedural complications can sometimes lead to therapy interruptions or modifications. This retrospective study aimed to investigate mechanical complications of the anterior abdominal wall associated with different laparoscopic approaches. MATERIALS AND METHODS: We conducted a retrospective analysis of peritoneal dialysis patients who underwent laparoscopic catheter insertion between 2010 and 2023. The laparoscopic techniques were categorized into three groups, and their relationships with descriptive dependent and independent variables were examined. Additionally, comparisons were made between the different groups. RESULTS: The complication rates of the anterior abdominal wall were found to be higher with the standard laparoscopic method. We concluded that age and body mass index (BMI) are influential factors for exit site leakage (ESL). Furthermore, being older than 50 years of age was found to be a contributing factor in hernia formation. CONCLUSION: Our findings indicate that age, BMI, and surgical method are factors which contribute to the occurrence of anterior abdominal wall complications in peritoneal dialysis. The use of a minimally traumatic trocar in the percutaneous method shows promise in preventing hernia formation, while the utilization of a paramedian entry appears advantageous in preventing ESL. Nevertheless, comprehensive and multicentric studies are needed in order to determine the most appropriate patient-specific method.