Laparoscopic Versus Open Catheter Placement In Peritoneal Dialysis Patients:a Systematic Review And Meta-Analysis

Objecticve:The objective of this study was to access the operation-related data and complications of catheter placement by comparing laparoscopic and open technique for peritoneal dialysis (PD) patients, in order to determine the better method for catheter insertion.Methods:A systematic review and meta-analysis was performed on published studies identified by the databases PubMed, EMBASE, Highwire, and the Cochrane Library. Analysis was performed using the statistical software Review Manager Version5.0.Results:Four randomized controlled trials (RCTs) and ten observational studies on laparoscopic versus open catheter insertion were assessed on operation-related data and complications. The data available showed that laparoscope prolonged the time necessary to carry out catheter insertion in PD patients, but 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 show that Laparoscopic catheter placement has no superiority to open surgery. Of cause, this treatment still needs to be confirmed in a large, multi-center, well-designed RCT.