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Updated: Oct 11, 2025
06:23
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
781
[The study of comparing three different cannula operations for peritoneal dialysis]
Bin Chen1, Chengbin Sun, Jianbo Zhou
1Department of Kidney, Ningbo Zhenhai People's Hospital, Ningbo 315202, Zhejiang, China. Corresponding author: Chen Bin,
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
|November 29, 2021
Summary
Laparoscopic and percutaneous puncture cannulas for peritoneal dialysis offer shorter operation times and less trauma than conventional surgery. Laparoscopic placement reduces catheter displacement but increases hernia risk, while percutaneous methods show no reduction in catheter drift.
Area of Science:
- Nephrology and Urology
- Minimally Invasive Surgery
- Medical Device Technology
Background:
- Peritoneal dialysis (PD) is a crucial treatment for end-stage renal disease (ESRD).
- Effective PD catheter placement is essential for successful long-term therapy.
- Comparing different PD catheter insertion techniques is vital for optimizing patient outcomes.
Purpose of the Study:
- To evaluate and compare the clinical efficacy of three PD catheter insertion methods: cannula under laparoscopy, percutaneous puncture cannula, and conventional surgery cannula.
- To assess perioperative outcomes, including surgical time and hospitalization duration.
- To analyze the incidence of early and late complications associated with each method.
Main Methods:
- A prospective study involving 87 ESRD patients undergoing PD catheter insertion.
- Patients were divided into three groups: laparoscopy (23), percutaneous puncture (29), and conventional surgery (35).
- Comparison of baseline characteristics, surgical parameters, and complication rates (hemorrhage, pain, leakage, catheter displacement, peritonitis, hernia).
Main Results:
- Laparoscopic and percutaneous puncture groups demonstrated significantly shorter operation times compared to conventional surgery (P < 0.05).
- Both minimally invasive techniques showed significantly lower rates of abdominal bleeding, rectus abdominis bleeding, and incision pain (P < 0.01).
- Laparoscopic placement significantly reduced catheter displacement rates (P < 0.05), but was associated with a higher incidence of umbilical hernia (P < 0.05).
Conclusions:
- Percutaneous puncture offers simpler operation, shorter duration, and less trauma than conventional surgery, but does not reduce catheter displacement.
- Laparoscopic PD catheter insertion provides shorter operation time, minimal trauma, and a lower catheter displacement rate.
- Laparoscopic placement is associated with an increased risk of umbilical hernia compared to percutaneous and conventional methods.
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