Objective: The study aimed to present technique and outcomes of laparoscopic retrograde peritoneal dialysis catheter
insertion in chronic kidney disease (CKD) patients.
Material and Method: We retrospectively reviewed 11 complicated CKD patients, who underwent both laparoscopic and laparoscopic retrograde peritoneal dialysis catheter (lap PD, r-lap PD) insertion at HRH Princess Maha Chakri Sirindhorn
Medical Center during April 2013 to March, 2016. Technique, outcomes and complications were presented.
Results: After a follow-up period of 14 months in patients who underwent lap PD insertion, there was no infection, bleeding
complication, or hernia presented. Dialysate leakage after immediate dialysis was found in one r-lap PD insertion patient but healed spontaneously. No catheter removal or revision was observed.
Conclusion: The described r-lap PD catheter insertion technique was straightforward, effective and reproducible. Though the sample size was limited, the procedure can used as an alternate in complicated CKD patients.

Keywords: Peritoneal dialysis, Laparoscopic insertion, Renal replacement therapy, Peritoneal dialysis catheter