Laparoscopic versus Conventional Open Peritoneal Dialysis Catheter Insertion in China: A Meta-Analysis
Urology Journal,
Vol. 20 No. 02 (2023),
27 February 2023
,
Page 81-89
https://doi.org/10.22037/uj.v20i02.7359
Abstract
Purpose: To compare the risk of complications between laparoscopic peritoneal dialysis (PD) catheter placement and open PD catheter placement.
Methods: We searched numerous databases, including SinoMed, CNKI, cqVIP, WanFang, Pubmed, Web of Science, OVID, Cochrane and Scopus, for published randomized controlled trials (RCTs) and non-randomized controlled trials (non-RCTs) .
Results: Ten studies were included(n=1341). The overall statistical results showed that patients receiving laparoscopic insertion of the PD catheter had a lower risk of catheter migration, inadequate drainage and blockage. The risk of leakage was higher in the laparoscopic group in studies performed prior to 2015; in studies performed after 2015, the risk of leakage was lower than in the conventional open-placement group. For the risk of developing pain, the risk was lower in the subgroup of laparoscopic patients starting PD within 1 day after catheter insertion; however, there was no significant difference between the subgroups starting PD 1 week or 2 weeks after catheter insertion. The risk outcome for abdominal bleeding was similar to that for pain, with a lower risk in the subgroup of laparoscopic patients starting PD within 1 day. The overall research quality was moderate.
Conclusion: Laparoscopic placement of the PD catheter has unique advantages over conventional open surgical placement, especially in special conditions such as emergency initiation. In addition, we found that some factors that were previously considered irrelevant may have an impact on the results for Asians. However, this conclusion still needs to be substantiated by further large samples in multicenter, high quality Randomized Controlled Trials (RCTs).
- Laparoscopic catheter placement
- Peritoneal dialysis
- Complications
- Meta-analysis
How to Cite
References
Kanda H, Hirasaki Y, Iida T, et al. Perioperative Management of Patients With End-Stage Renal Disease. J Cardiothorac Vasc Anesth. 2017;31(6):2251-2267
Smith BM, Dan AG. Operative Technique for Laparoscopic Placement of Continuous Ambulatory Peritoneal Dialysis Catheter. J Laparoendosc Adv Surg Tech A. 2020;30(7):815-819
Hagen SM, Lafranca JA, Steyerberg EW, IJzermans JN, Dor FJ. Laparoscopic versus open peritoneal dialysis catheter insertion: a meta-analysis. PLoS One. 2013;8(2):e56351
Qiao Q, Zhou L, Hu K, et al. Laparoscopic versus traditional peritoneal dialysis catheter insertion: a meta analysis. Ren Fail. 2016;38(5):838-848
Stack M, Price N, Ronaldson J, et al. Laparoscopic versus open peritoneal dialysis catheter insertion for the management of pediatric acute kidney injury. Pediatr Nephrol. 2016;31(2):297-303
Sun ML, Zhang Y, Wang B, et al. Randomized controlled trials for comparison of laparoscopic versus conventional open catheter placement in peritoneal dialysis patients: a meta-analysis. BMC Nephrol. 2020;21(1):60
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
Centre for reviews and dissemination: Systematic Reviews: CRD’s Guidance for Undertaking Reviews in Health Care. York: University of York. 2006
Higgins JP, Altman DG, Gøtzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. Bmj. 2011;343:d5928
Slim K, Nini E, Forestier D, et al. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003;73(9):712-716
Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959;22(4):719-748
Jia BJ, Cao WJ, Li J. Operational skills and clinical prognosis evaluation of peritoneal dialysis catheterization. China Medical Device Information. 2019;25(08):44-45
Li ZL, Li YL, A LM, Li S, Zhu ZK. Comparison of clinical efficacy between laparoscopic peritoneal dialysis catheterization and open peritoneal dialysis catheterization. Xinjiang Journal of Traditional Chinese Medicine. 2018;36(01):28-30
Xu T, Zang L, Xie JY, et al. Efficacy and safety of laparoscopic and conventional placement of peritoneal dialysis catheters in patients with ESRD. Chinese Journal of Nephrology,Dialysis & Transplantation. 2010;19(05):430-434
Qiao Q, Lu GY, Xu DY, Zhou XJ, Li L. A comparison of two methods for catheterization in peritoneal dialysis. Jiangsu Medical Journal. 2012;38(23):2812-2814
Ao X, Zhou QL, Nie WN, OuYang RL. Clinical comparison of peritoneal dialysis catheter placement under laparoscope and by conventional surgical methods. Chinese Journal of Blood Purification. 2012;11(10):544-548
Hong BL, Zhang WY, Li SP, et al. Clinical Advantages of Laparoscopic Tenckhoff Tube. Journal of Critical Care in Internal Medicine. 2019;25(02):139-140+143
Tang LH, Lin LG, Ling JH, Lin JP, Xie P. Comparison on the clinical efficacy of laparoscopic and open surgery in placement of peritoneal dialysis catheters. Journal of Qiqihar Medical University. 2019;40(05):575-577
Xie P, Yuan L, Liu F. The Comparision of Efficacy and Safety between Laparoscopic and Conventional Placement of Peritoneal Dialysis Catheters. Hebei Medicine. 2014;20(04):562-566
Xiong F, Dong JW, Li HB, et al. Influence of laparoscopic peritoneal dialysis catheterization on postoperative complications. Chinese Journal of Clinicians(Electronic Edition). 2011;5(06):1724-1727
Zhou CM, Zhao X, Zhang JH, et al. Comparison of laparoscopic and open surgical placement of peritoneal dialysis catheters. Journal of Xinjiang Medical University. 2014;37(05):598-602
Qiu H, Hong M, Zhang DW, Zheng HG. Comparison of coiled versus straight end peritoneal dialysis catheters on complication incidence and catheter survival: a meta analysis. Chinese Journal of Blood Purification. 2014;13(10):689-694
Hagen SM, Lafranca JA, IJzermans JN, Dor FJ. A systematic review and meta-analysis of the influence of peritoneal dialysis catheter type on complication rate and catheter survival. Kidney Int. 2014;85(4):920-932
Strippoli GF, Tong A, Johnson D, Schena FP, Craig JC. Catheter-related interventions to prevent peritonitis in peritoneal dialysis: a systematic review of randomized, controlled trials. J Am Soc Nephrol. 2004;15(10):2735-2746
Crabtree JH, Shrestha BM, Chow KM, et al. Creating and Maintaining Optimal Peritoneal Dialysis Access in the Adult Patient: 2019 Update. Perit Dial Int. 2019;39(5):414-436
Richardson DB, Cole SR, Ross RK, et al. Meta-Analysis and Sparse-Data Bias. Am J Epidemiol. 2021;190(2):336-340
Zhao L, Yang J, Bai M, et al. Risk Factors and Management of Catheter Malfunction During Urgent-Start Peritoneal Dialysis. Front Med (Lausanne). 2021;8:741312
- Abstract Viewed: 366 times
- 7359/pdf Downloaded: 284 times