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

Abdijalil, Guled; Shen, Shuijuan

doi:10.4103/ijn.ijn_482_20

Cited by 5 publications

(3 citation statements)

References 30 publications

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“…Moreover, laparoscopic placement of peritoneal dialysis catheter is feasible in children of all age groups with functional results similar to those obtained with the open approach [ 25 ]. A recent meta-analysis confirmed that laparoscopic placement of peritoneal catheters is effective and associated with fewer postoperative complications [ 26 ]. Where possible, the current guidelines do recommend laparoscopy as the first choice for PDC placement in both adult and child patients that require renal replacement therapy [ 17 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique

David,

Mussuto,

Stroescu

et al. 2023

Medicina

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The placement of a peritoneal dialysis catheter (PDC) is currently a common procedure in pediatric surgeon practice, and the search for the ultimate technique never stops. The purpose of this study is to evaluate our experience with the laparoscopic PDC placement approach, performing a “2+1” (“two plus one”) technique, where the “+1” trocar is placed in an oblique manner, pointing toward the Douglas pouch when passing through the abdominal wall. This tunnel is further used to place and maintain the proper position of the PDC. Materials and methods: We assessed a cohort of five children who underwent laparoscopic-assisted PDC placement between 2018 and 2022. Results: This procedure is a simple, relatively quick, and safe technique for PDC placement. Furthermore, in our experience, concomitant omentectomy is necessary to reduce the risk of catheter obstruction and migration due to omental wrapping. Conclusions: The laparoscopic approach allows for improved visualization and more accurate placement of a catheter inside the abdominal cavity. Concomitant omental excision is necessary to prevent PDC malfunction and migration.

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Section: Discussionmentioning

confidence: 99%

Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique

David,

Mussuto,

Stroescu

et al. 2023

Medicina

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“…It is widely acknowledged as a more liberated, safe, and effective treatment for end-stage renal disease (ESRD) compared to hemodialysis [ 2 ]. However, PD is not without its challenges, including peritonitis, catheter displacement, dialysate leakage, and outflow obstruction, among other issues, which can hinder the function of PD catheters (PDCs) [ 3 , 4 ]. Therefore, the successful insertion and continuous connection of peritoneal catheters, often considered the “lifeline” for patients with PD, are critical in PDC placement [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Suture passer combined with two-hole laparoscopic peritoneal dialysis catheterization in patients undergoing peritoneal dialysis

Zhu,

Xin,

Man

et al. 2024

Renal Failure

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Background Laparoscopic techniques are being widely applied for peritoneal dialysis (PD) catheter (PDC) placement. The suture passer is a novel fixation tool that aims to reduce catheter migration. We compared the clinical value of the suture passer combined with two-hole laparoscopic PDC placement to open surgical placement by evaluating preoperative and postoperative conditions, as well as the onset of complications in both groups. Methods A retrospective study was conducted including 169 patients who underwent PDC placement surgery from January 2021 to May 2023. Based on the method employed, patients were divided into two groups: the suture passer combined with a two-hole laparoscopy group (SLG) and the open surgical group (SG). Comprehensive patient information, including general data, preoperative and postoperative indicators, peritoneal function after surgery, and the incidence rate of complications, were collected and analyzed. Results The SLG showed a statistically significant decrease in operative time, intraoperative blood loss, and 6-month postoperative drift rate compared to the SG ( p < 0.05). No statistically significant differences were observed between the two groups in terms of sex, age, primary disease, hospitalization time, hospitalization costs, preoperative and postoperative examination indicators, peritonitis, and omental wrapping. Conclusions Suture passer combined with two-hole laparoscopic PDC placement, characterized by simplicity and facilitating secure catheter fixation, was deemed safe and effective for patients undergoing PD. It reduces the catheter migration rate and improved surgical comfort. Overall, this technique demonstrates favorable outcomes in clinical practice.

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“…Clinically, PD has a variety of catheterization methods, such as percutaneous catheterization, conventional surgical catheterization, and laparoscopic catheterization. Currently, there are many debates on which catheterization method is better [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the impact of peritoneal dialysis catheter tail‐end design on catheter‐related complications

et al. 2023

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ObjectiveEvaluate the impact of peritoneal dialysis catheter (PDC) tail‐end design variations on PDC‐related complications.MethodEffective data were extracted from databases. The literature was evaluated according to the Cochrane Handbook for Systematic Reviews of Interventions, and a meta‐analysis was conducted.ResultsAnalysis revealed that the straight‐tailed catheter was superior to the curled‐tailed catheter in minimizing catheter displacement and complication‐induced catheter removal (RR = 1.73, 95%CI:1.18–2.53, p = 0.005). In terms of complication‐induced PDC removal, the straight‐tailed catheter was superior to the curled‐tailed catheter (RR = 1.55, 95%CI: 1.15–2.08, p = 0.004).ConclusionCurled‐tail design of the catheter increased the risk of catheter displacement and complication‐induced catheter removal, whereas the straight‐tailed catheter was superior to the curled‐tailed catheter in terms of reducing catheter displacement and complication‐induced catheter removal. However, the analysis and comparison of factors such as leakage, peritonitis, exit‐site infection, and tunnel infection did not reveal a statistically significant difference between the two designs.

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

Cited by 5 publications

References 30 publications

Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique

Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique

Suture passer combined with two-hole laparoscopic peritoneal dialysis catheterization in patients undergoing peritoneal dialysis

Analysis of the impact of peritoneal dialysis catheter tail‐end design on catheter‐related complications

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