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

Figures & data

Figure 1. Suture Passer (The right side is the head).

Figure 2. Ssuture passer with a NO. 7 suture was inserted into the 1 mm small incision (The left side is the head).

Figure 3. Ssuture passer was retrieve the suture contralaterally (The left side is the head).

Figure 4. Completing the intra-abdominal catheter fixation (The left side is the head).

Figure 5. External view of Tenckhoff catheter placement (The right side is the head).

Table 1. Basic preoperative information.

	SLG (n = 58)	SG (n = 92)	Statistics value	p Value
Gender(Male/Female)	36/22	54/38	χ²=0.17	0.68
Age(Years)	48.26 ± 12.75	50.18 ± 14.35	t=–0.83	0.41
BMI(Kg/m^2)	24.45 ± 3.75	23.14 ± 3.46	t=–0.83	0.03
Polycystic kidney disease	3 (5.2%)	4 (4.3%)	b	1.00
Chronic glomerulonephritis	21 (36.2%)	27 (29.3%)	χ²=0.77^a	0.38
Hypertensive nephrosclerosis	14 (24.1%)	19 (20.7%)	χ²=0.25^a	0.62
Diabetic nephropathy	11 (19.0%)	26 (28.3%)	χ²=1.65^a	0.20
Other primary disease	9 (15.5%)	16 (17.4%)	χ²=0.09^a	0.76

^a indicates the corrected chi-square value.

^b indicates the Fisher’s exact probability test.

Values presented as mean ± standard deviation, number (%).

Table 2. Intraoperative conditions.

	SLG (n = 58)	SG (n = 92)	Statistics value	p Value
Operative time(min)	46.50 (16)	72.00 (24)	z=–7.61	p < 0.001
Intraoperative blood loss(ml)	5.00 (1)	45.00 (20)	z=–10.48	p < 0.001
Hospitalization time(day)	11.90 ± 4.22	13.43 ± 4.32	t=–2.14	0.03
Hospitalization costs(¥)	23039.91 (16030.90)	20358.54 (17127.26)	z=–1.87	0.06
Unplanned admission	18(31.3%)	28(30.43%)	χ²=0.01^a	0.94

^a indicates the corrected chi-square value.

Values presented as number (%), mean ± standard deviation, median and interquartile range.

Table 3. Inspection indicators (preoperative).

	SLG	SG	Statistics value	p Value
Leukocyte(10^9/L)	6.31 ± 2.78	6.70 ± 2.78	t=-0.90	0.37
Hemoglobin(g/L)	84.66 ± 17.33	87.50 ± 18.51	t=-0.94	0.35
Neutrophils(10^9/L)	4.50 ± 1.91	4.92 ± 2.53	t=-1.08	0.28
Lymphocyte(10^9/L)	1.16 ± 0.48	1.17 ± 0.54	t=-0.14	0.89
Serum creatinine(mg/L)	729.24 ± 224.23	704.42 ± 219.26	t = 0.67	0.50
Blood urea nitrogen (μmol/L)	29.05 (11.77)	29.50 (15.52)	z = 0.25	0.80
Uric acid(mmol/L)	386.50 (207.50)	424.50 (204.50)	z = 0.70	0.49
Albumin(g/L)	36.10 (6.47)	36.10 (8.47)	z = 0.31	0.76
Serum sodium(mmol/L)	139.15 (5.4)	138.05 (7.75)	z = 1.57	0.12
Serum potassium(mmol/L)	4.25 (1.14)	4.06 (1.18)	z = 0.62	0.54
Serum calcium(mmol/L)	2.01 (0.32)	2.05 (0.34)	z = 0.42	0.68
Serum phosphorus(mmol/L)	1.78 (0.66)	1.68 (0.84)	z = 0.61	0.54

Values presented as mean ± standard deviation, median and interquartile range.

Table 4. Inspection indicators (after 6 months of treatment).

	SLG	SG	Statistics value	p Value
Leukocyte(10^9/L)	5.92 (2.74)	6.44 (2.56)	z = −0.89	0.38
Hemoglobin(g/L)	104.60 ± 21.54	107.17 ± 21.03	t = −0.72	0.47
Neutrophils(10^9/L)	3.98 (2.37)	4.36 (2.14)	z = −0.56	0.57
Lymphocyte(10^9/L)	1.23 (0.63)	1.33 (0.63)	z = −0.62	0.54
Serum creatinine(mg/L)	547.30 (189.28)	553.65 (201.35)	z = −0.36	0.72
Blood urea nitrogen (μmol/L)	24.21 ± 5.38	23.28 ± 6.31	t = 0.96	0.33
Uric acid(mmol/L)	402.91 ± 114.34	390.78 ± 93.26	t = 0.68	0.48
Albumin(g/L)	35.77 ± 4.98	35.14 ± 5.93	t = −0.48	0.63
Serum sodium(mmol/L)	140.95 (4.15)	140.05 (4.25)	z = −1.04	0.29
Serum potassium(mmol/L)	4.01 ± 0.70	4.23 ± 0.72	t = −0.33	0.74
Serum calcium(mmol/L)	2.15 (0.31)	2.18 (0.25)	z = −0.47	0.64
Serum phosphorus(mmol/L)	1.64 (0.73)	1.59 (0.50)	z = −0.89	0.37

Values presented as mean ± standard deviation, median and interquartile range.

Table 5. Peritoneal function and complications in patients 6 months after surgery.

	SLG (n = 66)	SG (n = 103)	Statistics value	p Value
4-h creatinine D/P	0.67 (0.16)	0.67 (0.23)	z = 0.75	0.45
Catheter displacement	2 (3.0%)	12 (11.7%)	b	0.04
peritonitis	4 (6.1%)	14 (13.6%)	χ²=2.40^a	0.12
hernia	0	0	—	—
catheter outlet infections	1	1	b	1.0
Omental wrapping	2 (3.0%)	3 (2.9%)	b	1.0
Death	4 (6.1%)	3 (2.9%)	b	0.43
Renal transplant	2 (3.0%)	4 (3.9%)	b	1.0
Convert to hemodialysis	2 (3.0%)	4 (3.9%)	b	1.0

^a indicates the corrected chi-square value.

^b indicates the Fisher’s exact probability test.

Values presented as number (%), median and interquartile range.