Prospective Randomized Study for Comparison of Open Surgery with Laparoscopic-Assisted Placement of Tenckhoff Peritoneal Dialysis Catheter—A Single Center Experience and Literature Review

Jwo, Shyh-Chuan; Chen, Kuo-Su; Lee, Chin‐Chan; Chen, Huang-Yang

doi:10.1016/j.jss.2008.09.008

Cited by 96 publications

(143 citation statements)

References 28 publications

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“…Laparoscopic PD catheter placement is usually performed using general anesthesia [6,23,24] . Crabtree et al presented the possibility of using local anesthesia for laparoscopic approach [25] .…”

Section: Discussionmentioning

confidence: 99%

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

Markić¹,

Vujičić²,

Ivanovski³

et al. 2015

Blood Purif

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Background: Peritoneal dialysis (PD) catheter placement is usually performed using general or local anesthesia. We present our PD catheter placement experience using an ultrasound-guided transversus abdominis plane (TAP) block, which is a regional anesthesia technique. Methods: In this study, we analyzed 33 patients from our center with ESRD who underwent PD catheter placement using a TAP block between June 2011 and April 2014. Results: The TAP block was successful for 29/33 (87.9%) patients. Four patients (12.1%) had pain at the incision site and required general anesthesia. There were no anesthesia-, surgery- or catheter-related complications. Conclusion: ESRD patients have a substantial number of comorbidities that can be negatively influenced by general anesthesia. Because regional anesthesia has no systemic effect, this procedure could be recommended for this group of patients. A TAP block is an effective, safe method and can be used as the principal anesthesia technique for PD catheter placement.

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Section: Discussionmentioning

confidence: 99%

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

Markić¹,

Vujičić²,

Ivanovski³

et al. 2015

Blood Purif

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“…Overall, the reported rates of infection from the NSQIP data are lower in comparison with wound-related complications for both LPDC and OPDC; potentially, the infection rates are more pronounced over time as an outpatient as the catheter is used for peritoneal dialysis. Three randomized controlled trials (RCT) have been identified since 1999 looking at the comparison of laparoscopic versus open approach in PDC placement [34][35][36][37]. Earlier studies demonstrated LPDC operative times at 21.8-29 min compared to 14.3-22 min in the OPDC [36,37].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open peritoneal dialysis catheter placement

et al. 2015

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Using univariate analysis, there appears to be a benefit from LPDC placement. However, after controlling for confounding variables, the techniques appear to have equal outcomes. Surgeons should perform a LPDC or OPDC according to the approach with which they are most familiar. However, continued adoption, dispersal, and refinement of the laparoscopic approach may further optimize patient outcomes.

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“…The rate of catheter malfunction with open surgery can be as high as 19.4% (3,15,34,35). Repeated operations to obtain a well-functioning PD catheter are obviously was significantly different between the groups (p = 0.008), with the highest survival rate (76.8%) observed in the MO-S group.…”

Section: Discussionmentioning

confidence: 99%

A Modified Open Surgery Technique for Peritoneal Dialysis Catheter Placement Decreases Catheter Malfunction

Jiang¹,

Xu²,

Chen³

et al. 2013

Peritoneal Dialysis International

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ORIGINAL ARTICLES♦The modified surgery was characterized by a low incision site, a short intra-abdominal catheter segment and an additional upward straight subcutaneous tunnel. All patients were followed up for 2 years or until death. Survival rates, complications caused by catheter placement, and the probability of malfunction-free catheter survival were compared between the groups. ♦ Results: Catheter malfunction was the most frequent mechanical complication, found in 31 patients (14.4%), who experienced 38 malfunctions. Only 2 episodes of catheter malfunction were found in the MO-S group, representing a rate significantly less than those in the TO-S and TO-C groups (both p < 0.05). Kaplan-Meier curves for malfunctionfree PD catheter survival showed a significantly different malfunction-free probability for the various groups (p = 0.009). After 2 years of follow-up, 136 patients (63.0%) survived with their initial PD catheter. The initial catheter survival rate was 76.8% in the MO-S group. Kaplan-Meier curves for initial catheter survival showed that the highest survival rate was found in the MO-S group (p = 0.001). ♦ Conclusions: The modified open surgery technique is a reliable method for catheter placement.

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Prospective Randomized Study for Comparison of Open Surgery with Laparoscopic-Assisted Placement of Tenckhoff Peritoneal Dialysis Catheter—A Single Center Experience and Literature Review

Cited by 96 publications

References 28 publications

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

Peritoneal Dialysis Catheter Placement Using an Ultrasound-Guided Transversus Abdominis Plane Block

Laparoscopic versus open peritoneal dialysis catheter placement

A Modified Open Surgery Technique for Peritoneal Dialysis Catheter Placement Decreases Catheter Malfunction

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