Laparoscopic peritoneal dialysis catheter insertion using rectus sheath tunnel and selective omentopexy significantly reduces catheter dysfunction and increases peritoneal dialysis longevity

Krezalek, Monika A.; Bonamici, Nicolas; Lapin, Brittany; Carbray, Jo Ann; Velasco, Josè M.; Denham, Woody; Linn, John G.; Ujiki, Michael; Haggerty, Stephen P.

doi:10.1016/j.surg.2016.06.005

Cited by 41 publications

(61 citation statements)

References 32 publications

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“…Catheter survival: The 1-year ( Figure 2G) (15,16,18) and 2-year ( Figure 2H) (16,18) catheter survival rates were better in the advanced laparoscopy group. …”

Section: Herniamentioning

confidence: 95%

“…Catheter Figure 2B). The incidence of pericannular leak was reported in 5 studies (3,15,16,18,19), including 668 patients, and their metaanalysis significantly favored the advanced laparoscopy group ( Figure 2C). …”

Section: Catheter-related Outcomesmentioning

confidence: 99%

“…With NOS criteria, the cohort studies scored an average of 6.3 points, indicating medium quality (3,(15)(16)(17)(18)(19)(20).…”

Section: Study Qualitymentioning

confidence: 99%

“…Infections: Three studies that investigated the incidence of peritonitis after PD catheter insertion were included in the meta-analysis, with a total of 326 patients (15,16,18). There was no statistically significant difference in the risk of developing peritonitis between the groups ( Figure 2E).…”

Section: Herniamentioning

confidence: 99%

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Advanced Laparoscopic Peritoneal Dialysis Catheter Insertion: Systematic Review and Meta-Analysis

Shrestha

Kumar

et al. 2018

Perit Dial Int

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“…Catheter survival: The 1-year ( Figure 2G) (15,16,18) and 2-year ( Figure 2H) (16,18) catheter survival rates were better in the advanced laparoscopy group. …”

Section: Herniamentioning

confidence: 95%

Section: Catheter-related Outcomesmentioning

confidence: 99%

“…With NOS criteria, the cohort studies scored an average of 6.3 points, indicating medium quality (3,(15)(16)(17)(18)(19)(20).…”

Section: Study Qualitymentioning

confidence: 99%

Section: Herniamentioning

confidence: 99%

See 2 more Smart Citations

Advanced Laparoscopic Peritoneal Dialysis Catheter Insertion: Systematic Review and Meta-Analysis

Shrestha

Kumar

et al. 2018

Perit Dial Int

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“…However, the sample size of their study limits definite conclusions. Other techniques have been utilized in laparoscopic surgery to secure the Tenckhoff catheter, such as rectus sheath tunnelling and selective omentopexy . However, these techniques have never been compared to evaluate the more superior technique.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic EndoClose fixation of a peritoneal catheter reduces migration

Rouse

Choi

Bakhit

et al. 2019

ANZ Journal of Surgery

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Background With the introduction of laparoscopic Tenckhoff catheter insertion in the early 1990s, catheter malposition resulting in malfunction remains a frequent complication, often requiring surgical or radiological intervention. In this pioneer study, we describe the technique of suturing the Tenckhoff catheter using an EndoClose (Medtronic, Macquarie Park, NSW, Australia) device to the anterior abdominal wall during laparoscopic insertion and compare its outcomes with those not sutured. Methods This is a retrospective study of all patients who underwent laparoscopic Tenckhoff catheter insertion at Western Health from January 2013 to June 2018. All procedures were undertaken or supervised by one surgeon. The primary outcome was catheter malposition requiring surgical revision. Secondary outcomes were time to malposition and complications. Peri‐ and post‐operative factors were analysed to adjust for confounders using the Cochran–Mantel–Haenszel test. Results There were 82 patients in the sutured group and 63 patients in the non‐sutured group. Catheter malposition occurred in 7.32% in the sutured group and 19.05% in the non‐sutured group (P = 0.034; 95% confidence interval for the difference 0.007–0.237). There was an overall reduction in the odds of catheter malposition of 63% in favour of the sutured group. The median time‐to‐malposition was 128 and 182 days for the non‐sutured and sutured group, respectively, but not statistically different. No differences were found for the number of post‐operative complications. Conclusion Suturing of Tenckhoff catheter with an EndoClose device to the anterior abdominal wall during laparoscopic insertion is a simple, safe and useful method of reducing catheter malposition.

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