Suture passer combined with two-hole laparoscopic peritoneal dialysis catheterization in patients undergoing peritoneal dialysis

Abstract

Background

Laparoscopic techniques are being widely applied for peritoneal dialysis (PD) catheter (PDC) placement. The suture passer is a novel fixation tool that aims to reduce catheter migration. We compared the clinical value of the suture passer combined with two-hole laparoscopic PDC placement to open surgical placement by evaluating preoperative and postoperative conditions, as well as the onset of complications in both groups.

Methods

A retrospective study was conducted including 169 patients who underwent PDC placement surgery from January 2021 to May 2023. Based on the method employed, patients were divided into two groups: the suture passer combined with a two-hole laparoscopy group (SLG) and the open surgical group (SG). Comprehensive patient information, including general data, preoperative and postoperative indicators, peritoneal function after surgery, and the incidence rate of complications, were collected and analyzed.

Results

The SLG showed a statistically significant decrease in operative time, intraoperative blood loss, and 6-month postoperative drift rate compared to the SG (p < 0.05). No statistically significant differences were observed between the two groups in terms of sex, age, primary disease, hospitalization time, hospitalization costs, preoperative and postoperative examination indicators, peritonitis, and omental wrapping.

Conclusions

Suture passer combined with two-hole laparoscopic PDC placement, characterized by simplicity and facilitating secure catheter fixation, was deemed safe and effective for patients undergoing PD. It reduces the catheter migration rate and improved surgical comfort. Overall, this technique demonstrates favorable outcomes in clinical practice.

Keywords:

• Peritoneal dialysis
• surgical technique
• peritoneal dialysis catheter placement
• laparoscopy
• catheter fixation

Acknowledgments

The authors thank all the participants for their contributions.

Ethics approval and consent to participate

This research was approved by the Ethics Committee of Linyi People’s Hospital (Approval Number: 202311-H036).

Authors’ contributions

Yinan Zhu and PeiQin Xin collected all data, conducted statistical analysis and finish the initial manuscript, LIna Sun and Yulin Man critically reviewed and revised the manuscript, Xiaoming Zhang is responsible for the surgical operation. All authors reviewed and approved the final manuscript.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This study is funded by the Youth Program of the Shandong Provincial Natural Science Foundation of China (No. ZR2020QH063) and Shandong Province Medical and Health Development Science and Technology Plan (2019WS126).