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Updated: Jan 9, 2026
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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
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Percutaneous versus laparoscopic catheter placement for peritoneal dialysis: a meta-analysis
Xiaoxi Wang1,2, Wang Jin1,2, Xuan Li1,2
1First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
BMC Nephrology
|December 3, 2025
Summary
Laparoscopic and percutaneous peritoneal dialysis catheter insertion show similar clinical outcomes. Further large-scale studies are needed to confirm these findings for end-stage renal disease patients.
Area of Science:
- Nephrology
- Surgical Innovation
- Renal Replacement Therapy
Background:
- Peritoneal dialysis (PD) is a safe and effective treatment for end-stage renal disease (ESRD).
- Common PD catheter insertion methods include open surgery, laparoscopic surgery, and percutaneous insertion.
- Limited large-scale studies compare laparoscopic and percutaneous PD catheter placement.
Purpose of the Study:
- To synthesize existing literature on PD catheter insertion complications.
- To compare the outcomes of laparoscopic versus percutaneous PD catheter placement.
- To identify the optimal method for PD catheter insertion.
Main Methods:
- A meta-analysis was conducted, registering on PROSPERO (CRD42024509930).
- Literature search across EMBASE, PubMed, Web of Science, and CNKI databases.
- Data were statistically analyzed using Review Manager version 5.4.1.
Main Results:
- Nine studies (1 RCT, 1 prospective, 7 retrospective) were included, with high methodological quality (average NOS score 7.4).
- Laparoscopic PD catheter insertion may reduce bleeding risk but increases surgical duration.
- No significant differences were found in hospital stay, early/late complications (peritonitis, infections, malfunction, hernia, leakage) between laparoscopic and percutaneous methods.
Conclusions:
- Clinical outcomes for laparoscopic and percutaneous PD catheter insertion are comparable.
- Further large-scale, multicenter studies are required for definitive validation.
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