Related Experiment Video
Updated: May 13, 2026
06:23
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
Laparoscopic versus open peritoneal dialysis catheter insertion: a meta-analysis
Sander M Hagen1, Jeffrey A Lafranca, Ewout W Steyerberg
1Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Plos One
|March 5, 2013
Summary
Laparoscopic insertion of peritoneal dialysis catheters may be superior to the open technique. This meta-analysis found lower catheter migration and higher one-year survival rates with laparoscopic insertion.
Area of Science:
- Nephrology
- Surgical Techniques
- Medical Device Technology
Background:
- Peritoneal dialysis is a key treatment for end-stage renal disease, relying on functional dialysis catheters.
- Catheter malfunction rates are higher with the open technique (up to 35%) compared to laparoscopic insertion (up to 13%).
- Evidence comparing the superiority of different insertion techniques is limited.
Purpose of the Study:
- To compare the effectiveness of open versus laparoscopic insertion techniques for peritoneal dialysis catheters.
- To determine if laparoscopic insertion offers superior outcomes regarding catheter function and survival.
Main Methods:
- A systematic review and meta-analysis of randomized controlled trials and cohort studies.
- Searches conducted in MEDLINE, Embase, and CENTRAL databases, adhering to PRISMA guidelines.
- Analysis of nine postoperative outcome measures, including catheter migration and survival rates.
Main Results:
- No significant differences were found for seven of the nine outcome measures.
- Laparoscopic insertion was associated with significantly lower catheter migration (OR 0.21, P=0.006).
- One-year catheter survival was significantly higher in the laparoscopic group (OR 3.93, P=0.0006).
Conclusions:
- The laparoscopic insertion technique shows evidence of being superior to the open technique for peritoneal dialysis catheters.
- Laparoscopic insertion is associated with clinically relevant improvements in catheter survival and reduced migration.
- Further investigation may confirm laparoscopic insertion as the preferred method.
Related Concept Videos
01:30Peritoneal Dialysis I: Introduction and Procedure
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
01:25Peritoneal Dialysis III: Nursing Management
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
01:30Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...