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Original ArticleOpen Access
Comparison of the Seldinger Technique and Surgical Technique in Tenckhoff Catheter Insertion in CAPD Patients: A Single Center Experience
Khositrangsikun K 
,
Chujohn W ,
Kanokkantapong C ,
Kanjanabuch T
,
Chujohn W ,
Kanokkantapong C ,
Kanjanabuch T 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.
Keywords: Dialysis catheter insertion, Tenckhoff catheter insertion, Catheter Implantation, Seldinger method
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.
Keywords: Dialysis catheter insertion, Tenckhoff catheter insertion, Catheter Implantation, Seldinger method
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