Two-port laparoscopic placement of a peritoneal dialysis catheter with abdominal wall fixation

Ko, Jincheul; Ra, Whando; Bae, Taeseok; Lee, Taeseung; Kim, Hyung‐Ho; Han, Ho Seong

doi:10.1007/s00595-008-3877-5

Cited by 25 publications

(27 citation statements)

References 9 publications

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“…There are other reports of laparoscopic PD catheter placement describing excellent results. Ko J et al reported [30] that the success rate of laparoscopic PD-catheter was 100%. Other researchers have used stitches to fix the catheter in place during laparoscopy, with reported success rates of 94 to 100% [27,31].…”

Section: Discussionmentioning

confidence: 99%

Randomized controlled trials for comparison of laparoscopic versus conventional open catheter placement in peritoneal dialysis patients: a meta-analysis

Sun

Zhang²,

Wang

et al. 2020

BMC Nephrol

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Background: The application of laparoscopic catheterization technology in peritoneal dialysis (PD) patients has recently increased. However, the advantages and disadvantages of laparoscopic versus conventional open PD catheter placement are still controversial. The aim of this meta-analysis is to assess the complications of catheterization in PD patients and to provide a reference for choosing a PD-catheter placement technique in the clinic. Methods: We searched numerous databases, including Embase, PubMed, CNKI and the Cochrane Library, for published randomized controlled trials (RCTs). Results: Eight relevant studies (n = 646) were included in the meta-analysis. The pooled results showed a lower incidence of catheter migration (OR: 0.

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Section: Discussionmentioning

confidence: 99%

Randomized controlled trials for comparison of laparoscopic versus conventional open catheter placement in peritoneal dialysis patients: a meta-analysis

Sun

Zhang²,

Wang

et al. 2020

BMC Nephrol

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“…Some recent studies have showed that a low incidence of catheter malfunction can be achieved by creating a short, mobilizable intra-abdominal catheter (30,(40)(41)(42)(43)(44). It is reasonable that the short length of the intra-abdominal segment may increase the nondeformability of the catheter tip and thus antagonize tip migration.…”

Section: Mechanical Complicationsmentioning

confidence: 99%

A Modified Open Surgery Technique for Peritoneal Dialysis Catheter Placement Decreases Catheter Malfunction

Jiang¹,

Xu²,

Chen³

et al. 2013

Peritoneal Dialysis International

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ORIGINAL ARTICLES♦The modified surgery was characterized by a low incision site, a short intra-abdominal catheter segment and an additional upward straight subcutaneous tunnel. All patients were followed up for 2 years or until death. Survival rates, complications caused by catheter placement, and the probability of malfunction-free catheter survival were compared between the groups. ♦ Results: Catheter malfunction was the most frequent mechanical complication, found in 31 patients (14.4%), who experienced 38 malfunctions. Only 2 episodes of catheter malfunction were found in the MO-S group, representing a rate significantly less than those in the TO-S and TO-C groups (both p < 0.05). Kaplan-Meier curves for malfunctionfree PD catheter survival showed a significantly different malfunction-free probability for the various groups (p = 0.009). After 2 years of follow-up, 136 patients (63.0%) survived with their initial PD catheter. The initial catheter survival rate was 76.8% in the MO-S group. Kaplan-Meier curves for initial catheter survival showed that the highest survival rate was found in the MO-S group (p = 0.001). ♦ Conclusions: The modified open surgery technique is a reliable method for catheter placement.

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“…reported [33] that the success rate of laparoscopic PD-catheter was 100%. Other researchers have used stitches to fix the catheter in place during laparoscopy, with reported success rates of 94% to 100% [7,34] .…”

Section: Discussionmentioning

confidence: 98%

Randomized Controlled Trials for Comparison of Laparoscopic Versus Conventional Open Catheter Placement in Peritoneal Dialysis Patients: A Meta-Analysis

Sun

Wang

Zhang³

et al. 2019

Preprint

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Aim The application of laparoscopic catheterization technology in peritoneal dialysis (PD) patients has recently increased. However, the advantages and disadvantages of laparoscopic versus conventional open catheterization are still controversial. The aim of this meta-analysis is to assess complications of catheterization in PD patients and to provide a reference for the clinical choice of PD catheter placement technique. Methods We searched numerous databases, including Embase, PubMed, CNKI and the Cochrane Library, for published randomized controlled trials (RCTs). Results Eight relevant studies (n=646) were included in the meta-analysis. The pooled results showed a lower incidence of catheter migration (P: 0.03, OR: 0.42, 95% CI: 0.19 to 0.90) and malfunction (P: 0.008, OR: 0.41, 95% CI: 0.21 to 0.79) but a higher incidence of bleeding (P: 0.02, OR: 3.25, 95% CI: 1.18 to 8.97) with a laparoscopic approach than with a conventional approach. There was no significant difference in the incidence of obstruction (P: 0.24, OR: 0.32, 95% CI: 0.05 to 2.10), hernia (P: 0.20, OR: 0.38, 95% CI: 0.09 to 1.68), leakage (P: 0.23, OR: 0.69, 95% CI: 0.38 to 1.26), mechanical dysfunction (P: 0.90, OR: 0.96, 95% CI: 0.48 to 1.91), malfunction (P: 0.008, OR: 0.41, 95% CI: 0.21 to 0.79), perforation (P: 0.97, OR: 0.95, 95% CI: 0.06 to 15.42), peritonitis (P: 0.13, OR: 0.95, 95% CI: 0.42 to 1.12) or tunnel or exit-site infections (P: 0.49, OR: 0.95, 95% CI: 0.71 to 2.02). Conclusion Laparoscopic catheterization and conventional open catheter placement in PD patients have unique advantages, but laparoscopic catheterization may be superior to conventional open catheter placement. However, this conclusion needs to be confirmed with further large-sample-size, multi-centre, high-quality RCTs.

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Two-port laparoscopic placement of a peritoneal dialysis catheter with abdominal wall fixation

Cited by 25 publications

References 9 publications

Randomized controlled trials for comparison of laparoscopic versus conventional open catheter placement in peritoneal dialysis patients: a meta-analysis

Randomized controlled trials for comparison of laparoscopic versus conventional open catheter placement in peritoneal dialysis patients: a meta-analysis

A Modified Open Surgery Technique for Peritoneal Dialysis Catheter Placement Decreases Catheter Malfunction

Randomized Controlled Trials for Comparison of Laparoscopic Versus Conventional Open Catheter Placement in Peritoneal Dialysis Patients: A Meta-Analysis

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