Email updates

Keep up to date with the latest news and content from BMC Nephrology and BioMed Central.

Open Access Research article

Laparoscopic versus open catheter placement in peritoneal dialysis patients: a systematic review and meta-analysis

Haiying Xie12, Wei Zhang1, Jun Cheng1 and Qiang He1*

Author Affiliations

1 Kidney Disease Center, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China

2 The Nephrology Department, Shaoxing People's Hospital, Shaoxing, China

For all author emails, please log on.

BMC Nephrology 2012, 13:69  doi:10.1186/1471-2369-13-69

Published: 27 July 2012

Abstract

Background

Peritoneal dialysis has been proven to be a safe and effective mode of renal replacement therapy for patients with end-stage renal disease. The usage of laparoscopic catheter placement technique was increased in recent years. But the advantages and disadvantages between the laparoscopic catheter placement technique and open laparotomy technique were still http://in webcite controversy. The objective of this study is to access the operation-related data and complications of catheter placement for peritoneal dialysis (PD) patients, Then to determine the better method for catheter insertion.

Methods

We performed a systematic review and meta-analysis on published studies identified by the databases PubMed, EMBASE, Highwire, and the Cochrane Library. Analysis was performed using the statistical software Review Manager Version 5.0.

Results

We assessed the operation-related data and complications of four randomized controlled trials (RCTs) and ten observational studies. The available data showed that laparoscope prolonged the time for catheter insertion in PD patients, however, the two groups did not significantly differ in hospital stays, early and late complications, including infection, dialysate leaks, catheter migration, pericannular bleeding, blockage and hernia.

Conclusions

The data showed that Laparoscopic catheter placement had no superiority to open surgery. However, this treatment still needs to be confirmed in a large, multi-center, well-designed RCT.

Keywords:
Laparoscopic catheter placement; Peritoneal dialysis; Complications