Laparoscopic versus open surgery catheter placement in peritoneal dialysis patients: A meta-analysis of outcomes

Abstract

Introduction: The peritoneal dialysis catheter (PDC) can be placed either through the laparoscopic technique, percutaneous technique, or surgical procedures. The utilization of these PDC placement procedures is based on the successful placement and reduced risk of development of complications. The main objective of this study was to compare the complications associated with the laparoscopic technique to those linked to open surgery during PDC placement. Methods: The literature for this review was obtained from the PubMed and Google Scholar databases. The literature search was limited to studies published in the period between 1998 and 2019. The meta-analysis was done using Stata Version 12. Results: The results showed a significant difference in catheter malfunction rates between the laparoscopic and open surgery groups (relative risk [RR] = 0.58; 95% confidence interval [CI]: 0.42–0.8, P = 0.031). There was no statistically significant difference in dialysate leakage (RR = 0.77; 95% CI: 0.51–1.17, P = 0.116), peritonitis (RR = 0.8; 95% CI: 0.6–1.06, P = 0.349), and exit-site infection (RR = 0.84; 95% CI: 0.65–1.09, P = 0.834) between two groups. Conclusion: In conclusion, the laparoscopic PDC placement procedure was superior to open surgery with regard to catheter malfunction.

Advanced Treatment of Refractory Congestive Heart Failure by Peritoneal Ultrafiltration with Icodextrin in Patients without End-Stage Renal Disease

“…The one-year catheter survival rate was higher in the laparoscopic group compared to the open surgery group, but in the other study, this difference was not found [51,55]. Dialysate leakage, exit-site infection, and peritonitis incidence between the laparoscopic and open surgery groups were similar [56].…”

Exploring the Therapeutic Potential of Peritoneal Dialysis (PD) in the Treatment of Neurological Disorders

“…Recent advancements have introduced alternatives to traditional glucose-based dialysates, such as buffered solutions 2 , 3 and isodextrin-based options 4 , aiming to improve biocompatibility and reduce the risk of complications, such as peritoneal sclerosis 5 , 6 . Effective PD relies heavily on successful catheter placement, with techniques ranging from conventional surgical to minimally invasive percutaneous methods 7 – 10 . These advancements have made PD more accessible and adaptable to various clinical settings.…”