Preliminary report: cystoscopy-assisted peritoneal dialysis catheter placement â a direct, visual, safe, precise, easy, minimally invasive, and inexpensive technique

Qian, Xiaoqiang; Qi, Jun

doi:10.5414/cn108175

Cited by 7 publications

(3 citation statements)

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“…52,53 The International Society for Peritoneal Dialysis (ISPD) access guidelines 60 suggest some clinical targets of surgical site infection less than 5% within 30 days of insertion, and visceral injury and significant bleeding being both less than 1%. In our review, other outcomes have also been reported frequently like postoperative pain, 35,37,42,43,45,52,53 length of wound, 35,37,45 and incidence of delayed wound healing. 44,49 Postoperative pain is patient-centered and may warrant further characterization in terms of incidence and may be considered as targets for future ISPD PD access guidelines.…”

Section: Discussionsupporting

confidence: 53%

“…The interventions introduced in the included studies were as follows: catheter type/configuration in 17 studies (36%) 14 –30 with the most frequently studied intervention was comparing straight versus coiled intra-abdominal part of the catheters (9 RCTs). Insertion technique in 15 studies (32%) 31 –45 with the most frequently studied intervention open versus laparoscopic catheter insertion (4 RCTs), two interventions in 3 studies (6%), 46 –48 and there were 6 other different interventions in 12 studies (26%) (Supplementary Table 1). Study characteristics of the included trials can be found in Table 1.…”

Section: Resultsmentioning

confidence: 99%

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Peritoneal dialysis access outcomes reported in randomized controlled trials: A systematic review

et al. 2020

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Background: Functional peritoneal dialysis (PD) access is critical to the success of PD therapy. The aim of this review is to describe the spectrum of definitions and methods employed in the measurement of unique outcomes across PD access trials particularly focusing on the outcomes of PD access flow restriction and operative-related outcomes. Methods: Using Cochrane CENTRAL registry, MEDLINE, and EMBASE, we searched for studies restricted to randomized controlled trials (RCTs) involving interventions related to PD access without restrictions on age, language, or publication year. Studies were screened and data abstracted by two independent reviewers. Definitions, outcome measures, and time points of measurements were captured and documented separately. Unique combinations of these variables resulted in reporting the different ways of measurements. Results: Of the 1768 screened studies, 47 RCTs were included among which 817 PD access outcomes were grouped into 7 broad categories. Interventions evaluated in the RCTs were catheter type/configuration ( n = 17), insertion technique ( n = 15), multiple interventions ( n = 3), and other (6 interventions, n = 12). PD access flow restriction (a subcategory of mechanical outcomes) and operative-related outcomes were reported in 91% and 58% of the included trials, respectively. Tip migration was the most frequently reported flow restriction outcome (59% of RCTs) followed by catheter dysfunction (23% of RCTs). Of the components utilized in definition of flow restriction, description of the impaired flow was reported in 37% of RCTs, need for intervention in 42% of RCTs, and presumed etiology of flow restriction in 60% of RCTs. Conclusion: Variability exists in the definitions, reporting methods, choice of outcomes, and analysis of the PD access outcomes across RCTs. Operative-related outcomes remain underreported across RCTs. Outcomes relating to PD access flow restriction were the most common complications reported in the included RCTs but were reported heterogeneously with variability in reporting of the three key components of its definition including description and severity of the flow restriction, the need for intervention and etiology of flow restriction. In the future, defining PD access flow restriction should include all of these components to better evaluate the comparative effect of various PD access interventions.

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Section: Discussionsupporting

confidence: 53%

Section: Resultsmentioning

confidence: 99%

Peritoneal dialysis access outcomes reported in randomized controlled trials: A systematic review

et al. 2020

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“…Zhu et al [16] introduced ureteroscope-assisted catheter placement via a 16-Fr peel-away sheath in 47 patients. Recently, Xiaoqiang et al [17] described cystoscopy-assisted catheter placement in 14 patients and reported a lower rate of surgical complications compared with an open surgery group. Goh et al [18] reported 91 peritoneoscopic Tenckhoff catheter insertions in 83 patients, with a 1-year catheter survival of 86.5%.…”

Section: Discussionmentioning

confidence: 99%

Preliminary report: nephroscope-assisted “pulling-thread” technique for placement of peritoneal dialysis catheter

Yoshida¹,

Inoue²,

Masuda³

et al. 2015

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Background: Several catheter placement procedures have been described for initiation of peritoneal dialysis, including percutaneous insertion, open surgery, and laparoscopic surgery. However, the optimal approach to catheter placement for peritoneal dialysis remains controversial, because each procedure has specific advantages and disadvantages. Patients and methods: From June 2010 to October 2014, we performed a nephroscope-assisted "pulling-thread" technique for placement of peritoneal dialysis catheters in 46 patients with end-stage renal disease at our medical center. We retrospectively reviewed the operation-related data, early catheter-related complications during the first month after placement, and longterm technical catheter survival. Results: Catheters in all 46 patients were placed precisely in a single step during surgery. The mean operative time was 63.0 ± 18.2 minutes, and no intra-operative complications occurred in any patient. Early catheter-related complications included only exit-site infection (n = 2; 4.3%) and catheter obstruction (n = 2; 4.3%). There was a mean follow-up period of 18.3 ± 12.7 months. The probability of catheter survival at 1 year was 97.1% and at 2 years was 80.1%. Conclusion: Our technique has the advantages of simplicity, safety, minimal equipment, low early catheter-related complication rate, and favorable long-term catheter outcome, making it ideal for patients with end-stage renal disease.

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Catheter type, placement and insertion techniques for preventing catheter-related infections in chronic peritoneal dialysis patients

Htay

Johnson

Craig

et al. 2019

Cochrane Database of Systematic Reviews

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Preliminary report: cystoscopy-assisted peritoneal dialysis catheter placement â a direct, visual, safe, precise, easy, minimally invasive, and inexpensive technique

Abstract: Cystoscopy-assisted PD catheter placement is a direct, visual, safe, precise, easy, inexpensive, and minimally invasive technique that is ideal for patients with ESRD.

Cited by 7 publications

References 0 publications

Peritoneal dialysis access outcomes reported in randomized controlled trials: A systematic review

Peritoneal dialysis access outcomes reported in randomized controlled trials: A systematic review

Preliminary report: nephroscope-assisted “pulling-thread” technique for placement of peritoneal dialysis catheter

Catheter type, placement and insertion techniques for preventing catheter-related infections in chronic peritoneal dialysis patients

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Preliminary report: cystoscopy-assisted peritoneal dialysis catheter placement â a direct, visual, safe, precise, easy, minimally invasive, and inexpensive technique

Abstract: Cystoscopy-assisted PD catheter placement is a direct, visual, safe, precise, easy, inexpensive, and minimally invasive technique that is ideal for patients with ESRD.

Cited by 7 publications

References 0 publications

Peritoneal dialysis access outcomes reported in randomized controlled trials: A systematic review

Peritoneal dialysis access outcomes reported in randomized controlled trials: A systematic review

Preliminary report: nephroscope-assisted “pulling-thread” technique for placement of peritoneal dialysis catheter

Catheter type, placement and insertion techniques for preventing catheter-related infections in chronic peritoneal dialysis patients

Contact Info

Product

Resources

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Preliminary report: cystoscopy-assisted peritoneal dialysis catheter placement â a direct, visual, safe, precise, easy, minimally invasive, and inexpensive technique