ArticleSurgical endoscopy2025
Clinical application of simplified laparoscopic subcutaneous tunneled technique for peritoneal dialysis catheter placement.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Evaluating the Toumai MT‑1000 for urologic surgery: a systematic review and single-arm meta-analysis with remote and on-site experiences.Journal of robotic surgery · 2025Pooled it
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to evaluate the safety and efficacy of a simplified single-port laparoscopic rectus sheath tunneling technique for peritoneal dialysis (PD) catheter implantation compared with conventional laparoscopic placement.
methodsWe conducted a retrospective analysis of 70 patients who underwent PD catheter placement at our center between October 2019 and October 2024. Inclusion criteria were: Age > 18 years, BMI < 30 kg/m
resultsThe simplified technique demonstrated:100% technical success rate, Mean operative time of 39.8 ± 8.6 min (vs 48 ± 11.8 min in controls, P = 0.0014); Zero conversions to open surgery, Significantly reduced incidence of postoperative tunnel bleeding (8.6 vs 14.3%, P = 0.003); and lower rates of early pericatheter leakage, Shorter operative time compared to conventional methods (2.9 vs 8.6%, P = 0.018). Catheter migration occurred in 3 control patients (8.6%) versus none in the study group. Kaplan-Meier analysis showed 100% catheter survival at 12 months in both groups. And demonstrated superior catheter survival in the simplified technique group compared to conventional laparoscopic placement (log-rank P = 0.036).
conclusionIn this single-center cohort, the simplified laparoscopic tunneled technique showed advantages including reduced operative time and lower complication rates compared to conventional methods. Larger multicenter studies are needed to validate these findings.
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