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Updated: Jul 10, 2025
06:09
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
82
SAGES peritoneal dialysis access guideline update 2023
Stephen P Haggerty1, Sunjay S Kumar2, Amelia T Collings3
1Department of Surgery, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL, 60201, USA. SHaggerty@northshore.org.
Surgical Endoscopy
|November 22, 2023
Summary
This guideline provides evidence-based recommendations for minimally invasive peritoneal dialysis (PD) catheter insertion and salvage. Advanced laparoscopic techniques are favored over basic or open methods for both adults and children.
Area of Science:
- Surgical techniques
- Medical guidelines
- Nephrology
Background:
- Minimally invasive surgery is utilized for peritoneal dialysis (PD) catheter insertion and salvage.
- Popular techniques include advanced laparoscopic, basic laparoscopic, open, and image-guided methods.
- Guidelines aim to support clinical decisions for PD access and catheter salvage in adults and children.
Framework:
- A systematic literature review was conducted by a panel from the Society of American Gastrointestinal and Endoscopic Surgeons.
- Recommendations were formulated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
- Key questions addressed PD access and catheter dysfunction in adult and pediatric populations.
Implementation:
- Twelve recommendations were developed for peri-operative performance of laparoscopic PD access surgery and management of catheter dysfunction.
- Conditional recommendations favor staged hernia repair before PD catheter insertion in adults.
- Advanced laparoscopic techniques are suggested for PD catheter insertion in both adults and children.
Implications:
- The guidelines support surgeons, patients, and physicians in making informed decisions regarding PD access.
- Recommendations address optimal timing for PD initiation and surgical approaches for catheter placement.
- Future research recommendations were also proposed to further advance PD catheter management.
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