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

BMC Nephrology

Qiang He²  Jun Cheng²  Wei Zhang²  Haiying Xie¹ 

[1] The Nephrology Department, Shaoxing People's Hospital, Shaoxing, China;Kidney Disease Center, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China

关键词: Complications;    Peritoneal dialysis;    Laparoscopic catheter placement;   

Others  :  1083144
DOI  :  10.1186/1471-2369-13-69

 received in 2011-10-26, accepted in 2012-07-11,  发布年份 2012

【 摘 要 】

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.

【 授权许可】

   
2012 Xie et al.; licensee BioMed Central Ltd.