title: Laparoscopic versus open catheter placement in peritoneal dialysis patients: a systematic review and meta-analysis.
abstract: BACKGROUND
  Peritoneal dialysis has been proven to be a safe and effective mode of renal replacement therapy for patients with end-stage renal disease. The usage of laparoscopic catheter placement technique was increased in recent years. But the advantages and disadvantages between the laparoscopic catheter placement technique and open laparotomy technique were still http://in controversy. The objective of this study is to access the operation-related data and complications of catheter placement for peritoneal dialysis (PD) patients, Then to determine the better method for catheter insertion.
  
  
  METHODS
  We performed a systematic review and meta-analysis on published studies identified by the databases PubMed, EMBASE, Highwire, and the Cochrane Library. Analysis was performed using the statistical software Review Manager Version 5.0.
  
  
  RESULTS
  We assessed the operation-related data and complications of four randomized controlled trials (RCTs) and ten observational studies. The available data showed that laparoscope prolonged the time for catheter insertion in PD patients, however, the two groups did not significantly differ in hospital stays, early and late complications, including infection, dialysate leaks, catheter migration, pericannular bleeding, blockage and hernia.
  
  
  CONCLUSIONS
  The data showed that Laparoscopic catheter placement had no superiority to open surgery. However, this treatment still needs to be confirmed in a large, multi-center, well-designed RCT.
authors: Kidney Disease Center, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
authors: Haiying
authors: H
authors: Xie
authors: Wei
authors: W
authors: Zhang
authors: Jun
authors: J
authors: Cheng
authors: Qiang
authors: Q
authors: He
mesh_terms: D002408:Catheters, Indwelling; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010530:Peritoneal Dialysis / Q000295:instrumentation* / Q000379:methods*; D016032:Randomized Controlled Trials as Topic / Q000379:methods; D016896:Treatment Outcome