Laparoscopic Versus Open-surgery Catheter Placement in Peritoneal Dialysis Patients: A Meta-analysis of Outcomes

Overview

Journal Indian J Nephrol

Specialty Nephrology

Date 2022 Mar 14

PMID 35283566

Authors

Guled Abdijalil

Shen Shuijuan

Affiliations

Soon will be listed here.

Abstract

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 successful placement and reduced risk of development of complications. The main objective of this study was to compare the complications associated with laparoscopic vs. open-surgery PDC placement procedure. Literature for this review was obtained from 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. The results showed significant difference in catheter malfunction between the laparoscopic and open-surgery group (relative risk [RR] =0.58; 95% CI: 0.42-0.8; = 0.031). Furthermore, there was no significant statistical difference in dialysate leakage (RR = 0.77; 95% CI: 0.51-1.17, = 0.116) peritonitis (RR = 0.8; 95% CI: 0.6-1.06, = 0.349) and exit-site infection (RR = 0.84; 95% CI: 0.65-1.09, = 0.834) between the laparoscopic and open-surgery PDC placement groups. In conclusion, the laparoscopic PDC placement procedure was superior to open surgery in regards to catheter malfunction. Additionally, the choice of treatment procedure should put in consideration factors such as cost and comfortability of the patient.

Citing Articles

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

Zhu Y, Xin P, Man Y, Zhang X, Sun L Ren Fail. 2024; 46(1):2349123.

PMID: 38727002 PMC: 11089914. DOI: 10.1080/0886022X.2024.2349123.

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

David V, Mussuto E, Stroescu R, Gafencu M, Boia E Medicina (Kaunas). 2023; 59(5).

PMID: 37241193 PMC: 10223083. DOI: 10.3390/medicina59050961.

References

Crabtree J, Fishman A . A laparoscopic method for optimal peritoneal dialysis access. Am Surg. 2005; 71(2):135-43. DOI: 10.1177/000313480507100209. View

Medani S, Shantier M, Hussein W, Wall C, Mellotte G . A comparative analysis of percutaneous and open surgical techniques for peritoneal catheter placement. Perit Dial Int. 2012; 32(6):628-35. PMC: 3524906. DOI: 10.3747/pdi.2011.00187. View

Tsimoyiannis E, Siakas P, Glantzounis G, Toli C, Sferopoulos G, Pappas M . Laparoscopic placement of the Tenckhoff catheter for peritoneal dialysis. Surg Laparosc Endosc Percutan Tech. 2000; 10(4):218-21. View

Gadallah M, Pervez A, El-Shahawy M, Sorrells D, Zibari G, McDonald J . Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: a prospective randomized study on outcome. Am J Kidney Dis. 1999; 33(1):118-22. DOI: 10.1016/s0272-6386(99)70266-0. View

Ogunc G, Tuncer M, Ogunc D, Yardimsever M, Ersoy F . Laparoscopic omental fixation technique versus open surgical placement of peritoneal dialysis catheters. Surg Endosc. 2003; 17(11):1749-55. DOI: 10.1007/s00464-002-8586-3. View

Bircan H, Kulah E . Effects of a Novel Peritoneal Dialysis: The Open Versus Laparoscopic Preperitoneal Tunneling Technique. Ther Apher Dial. 2015; 20(1):66-72. DOI: 10.1111/1744-9987.12377. View

Prabhakar N, AlJamal Y, Saleem H, Baloul M, Nyberg S, Farley D . Outcomes of laparoscopic and open CAPD catheter placement: A single-center experience. Surg Open Sci. 2020; 1(1):20-24. PMC: 7391912. DOI: 10.1016/j.sopen.2019.05.003. View

Wright M, Beleed K, Johnson B, Eadington D, Sellars L, Farr M . Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion. Perit Dial Int. 1999; 19(4):372-5. View

Jwo S, Chen K, Lee C, Chen H . Prospective randomized study for comparison of open surgery with laparoscopic-assisted placement of Tenckhoff peritoneal dialysis catheter--a single center experience and literature review. J Surg Res. 2009; 159(1):489-96. DOI: 10.1016/j.jss.2008.09.008. View

10.

Chen Y, Shao Y, Xu J . The Survival and Complication Rates of Laparoscopic Versus Open Catheter Placement in Peritoneal Dialysis Patients: A Meta-Analysis. Surg Laparosc Endosc Percutan Tech. 2015; 25(5):440-3. DOI: 10.1097/SLE.0000000000000188. View

11.

Harding J, Pavkov M, Magliano D, Shaw J, Gregg E . Global trends in diabetes complications: a review of current evidence. Diabetologia. 2018; 62(1):3-16. DOI: 10.1007/s00125-018-4711-2. View

12.

Strippoli G, Tong A, Johnson D, Schena F, Craig J . Catheter type, placement and insertion techniques for preventing peritonitis in peritoneal dialysis patients. Cochrane Database Syst Rev. 2004; (4):CD004680. DOI: 10.1002/14651858.CD004680.pub2. View

13.

Cox T, Blair L, Huntington C, Prasad T, Kercher K, Heniford B . Laparoscopic versus open peritoneal dialysis catheter placement. Surg Endosc. 2015; 30(3):899-905. DOI: 10.1007/s00464-015-4297-4. View

14.

Hagen S, Lafranca J, Steyerberg E, IJzermans J, Dor F . Laparoscopic versus open peritoneal dialysis catheter insertion: a meta-analysis. PLoS One. 2013; 8(2):e56351. PMC: 3574153. DOI: 10.1371/journal.pone.0056351. View

15.

Xie H, Zhang W, Cheng J, He Q . Laparoscopic versus open catheter placement in peritoneal dialysis patients: a systematic review and meta-analysis. BMC Nephrol. 2012; 13:69. PMC: 3439683. DOI: 10.1186/1471-2369-13-69. View

16.

Sun T, Voss D, Beechey D, Lam-Po-Tang M . Comparison of peritoneal dialysis catheter insertion techniques: Peritoneoscopic, radiological and laparoscopic : A single-centre study. Nephrology (Carlton). 2015; 21(5):416-22. DOI: 10.1111/nep.12621. View

17.

van Laanen J, Cornelis T, Mees B, Litjens E, van Loon M, Tordoir J . Randomized Controlled Trial Comparing Open Versus Laparoscopic Placement of a Peritoneal Dialysis Catheter and Outcomes: The CAPD I Trial. Perit Dial Int. 2018; 38(2):104-112. DOI: 10.3747/pdi.2017.00023. View

18.

Heaf J, Wehberg S . Relative survival of peritoneal dialysis and haemodialysis patients: effect of cohort and mode of dialysis initiation. PLoS One. 2014; 9(3):e90119. PMC: 3948631. DOI: 10.1371/journal.pone.0090119. View

19.

Tiong H, Poh J, Sunderaraj K, Wu Y, Consigliere D . Surgical complications of Tenckhoff catheters used in continuous ambulatory peritoneal dialysis. Singapore Med J. 2006; 47(8):707-11. View

20.

Eklund B, Groop P, Halme L, Honkanen E, Kala A . Peritoneal dialysis access: a comparison of peritoneoscopic and surgical insertion techniques. Scand J Urol Nephrol. 1999; 32(6):405-8. DOI: 10.1080/003655998750015197. View