title: Laparoscopic versus traditional peritoneal dialysis catheter insertion: a meta analysis.
abstract: OBJECTIVE
  The objective of this study is to compare the catheter-related complications as well as catheter survival between laparoscopic and traditional surgery in peritoneal dialysis catheter insertion.
  
  
  RESULTS
  Five randomized controlled trials and 11 cohort studies were identified. Meta-analysis showed laparoscopic catheter is superior to traditional surgery in terms of controlling catheter migration (OR 0.17, 95% CI 0.08-0.33; p < 0.00001) and catheter survival rate (1-year survival rate: OR 3.05, 95% CI 1.72-5.41, p = 0.0001; 2-year survival rate: OR 2. 07, 95% CI 1.29-3.33, p = 0.0001), but slightly increases the risk of bleeding (OR 2.13, 95% CI 1.07-4.23, p = 0.03). The two groups were not significantly different in other catheter-related complications. As regards the quality of the analysis, only the migration analysis ranked A-level, while the rest fell into Class B or C. The overall research quality was moderate.
  
  
  CONCLUSIONS
  Laparoscopic surgery is superior to traditional surgery on reducing catheter migration and prolonging catheter survival rate according to our analysis.
authors.affiliation: a Department of Nephrology , Soochow University , Suzhou , Jiangsu , China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Qiao
authors.affiliation: a Department of Nephrology , Soochow University , Suzhou , Jiangsu , China.
authors.forename: Leting
authors.initials: L
authors.lastname: Zhou
authors.affiliation: a Department of Nephrology , Soochow University , Suzhou , Jiangsu , China.
authors.forename: Kun
authors.initials: K
authors.lastname: Hu
authors.affiliation: a Department of Nephrology , Soochow University , Suzhou , Jiangsu , China.
authors.forename: Deyu
authors.initials: D
authors.lastname: Xu
authors.affiliation: a Department of Nephrology , Soochow University , Suzhou , Jiangsu , China.
authors.forename: Lin
authors.initials: L
authors.lastname: Li
authors.affiliation: a Department of Nephrology , Soochow University , Suzhou , Jiangsu , China.
authors.forename: Guoyuan
authors.initials: G
authors.lastname: Lu
mesh_terms: D055499:Catheter-Related Infections / Q000209:etiology*; D002408:Catheters, Indwelling / Q000009:adverse effects; D057186:Comparative Effectiveness Research; D019544:Equipment Failure Analysis; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D010530:Peritoneal Dialysis / Q000295:instrumentation / Q000379:methods; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods
keywords: Catheter survival; complication; laparoscopy; peritoneal dialysis; peritoneal dialysis catheter insertion