Percutaneous versus laparoscopic catheter placement for peritoneal dialysis: a meta-analysis

作者：Xiaoxi Wang, Jin Wang, X Y Li, Woong Bae Ji, Tong Ren · 发表于：BMC Nephrology · 年份：2025 · DOI：10.1186/s12882-025-04597-z · 被引用次数：1 · 研究领域：Dialysis and Renal Disease Management、Central Venous Catheters and Hemodialysis、Kidney Stones and Urolithiasis Treatments

BACKGROUND: Peritoneal dialysis (PD) is one of the relatively safe and effective renal replacement therapies for patients with end-stage renal disease (ESRD). There are three main types of PD catheter insertion procedures: open surgery, laparoscopic surgery, and percutaneous insertion. Currently, open surgery is most commonly used in clinical practice, although some hospitals have adopted laparoscopic and percutaneous insertion methods. However, there is still a lack of large-scale studies comparing percutaneous and laparoscopic catheter placement. This study aims to collect and synthesize existing literature data, analyze complications related to PD catheter insertion, and determine the optimal catheter placement method. METHODS: This Meta-analysis has been registered on the PROSPERO platform (CRD42024509930). Articles published in EMBASE, PubMed, Web of Science, and CNKI were retrieved, statistically analyzed, and reviewed. The statistical software Review Manager version 5.4.1 was used for data analysis. RESULTS: A total of nine studies on surgical outcomes and complications were included. The article types included one randomized controlled trial (RCT), one prospective study, and seven retrospective studies. The methodological quality of the 8 included non-randomized studies was assessed using the Newcastle-Ottawa Scale (NOS). The average score was 7.4 points (range: 6 to 8), indicating an overall high study quality. According to existing literature, laparoscopic PD cathet...