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Updated: Aug 13, 2026
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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
Early start of CAPD with the Seldinger technique
Oktay Banli1, Hasan Altun, Aysegul Oztemel
1The Nephrology and Transplantation Center, SSK Ankara Ihtisas Hospital, Ankara, Turkey.
Summary
Starting continuous ambulatory peritoneal dialysis (PD) earlier is safe. A prospective study found that initiating PD on day six after percutaneous catheter insertion resulted in minimal leakage, challenging the traditional waiting period.
Area of Science:
- Nephrology
- Minimally Invasive Surgery
Background:
- The optimal timing for initiating peritoneal dialysis (PD) after catheter insertion is debated, with a common recommendation of a 4-6 week waiting period.
- Minimally invasive techniques for PD catheter placement are gaining traction.
Purpose of the Study:
- To evaluate the necessity of the traditional 4-6 week waiting period before starting PD.
- To assess the safety and efficacy of early PD initiation after percutaneous catheter insertion.
Main Methods:
- A prospective study involving 41 patients who received 42 double-cuff Tenckhoff CAPD catheters.
- Utilized a percutaneous technique for catheter insertion.
- Initiated PD on the sixth day post-catheter insertion.
Main Results:
- Only 2 cases (4.8%) of pericatheter leakage were observed.
- The percutaneous technique proved safe, simple, and cost-effective compared to surgical or peritoneoscopic methods.
- Early initiation of PD on day six did not significantly increase pericatheter leakage rates.
Conclusions:
- The traditional 4-6 week waiting period before starting PD may not be necessary.
- Early PD initiation, as early as the sixth day after percutaneous catheter placement, is a safe and viable option.
- Percutaneous catheter insertion followed by early PD initiation offers a less costly and effective alternative.
