Evidence map›Paper›PMID 42118170›Full record

ArticlePediatric surgery international2026

Evaluating the need for omentectomy during laparoscopic placement of tunneled peritoneal dialysis catheters in pediatrics: a multicenter comparative study.

Mohamed Ali Shehata, Mohamed Gharieb Khirallah, Aminah Al Nafesa, Osama Abdullah Bawazir, Tariq Ibrahim AlFadda, Abdulwahhab Aljubab, Ahmed Mostafa Aboelyazeed

Abstract readMulticenter StudyComparative Study
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In one paragraph

Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mohamed Ali ShehataPediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt. Mohamedshehata81@hotmail.com.ORCID http://orcid.org/0000-0003-3913-1836
Mohamed Gharieb KhirallahPediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Aminah Al NafesaGeneral Pediatric Surgery Department, King Fahd Medical City, Riyadh, Saudi Arabia.
Osama Abdullah BawazirGeneral Surgery Department, King Faisal Specialist Hospital & Research Centre, Jeddah, Saudi Arabia.
Tariq Ibrahim AlFaddaGeneral Pediatric Surgery Department, King Fahd Medical City, Riyadh, Saudi Arabia.
Abdulwahhab AljubabGeneral Pediatric Surgery Department, King Fahd Medical City, Riyadh, Saudi Arabia.
Ahmed Mostafa AboelyazeedPediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate whether routine omentectomy improves outcomes during laparoscopic placement of peritoneal dialysis (PD) catheters in children.

methodsThis multicenter retrospective study included children ≤ 5 years who underwent laparoscopic PD catheter insertion (2022-2025). Patients were divided into non-omentectomy (Group A, n = 169) and omentectomy (Group B, n = 182). The primary outcome was catheter survival at 12 months. Secondary outcomes included complications, operative time, and hospital stay.

resultsA total of 351 patients were analyzed. Catheter survival at 12 months was similar between Group A and Group B (84.0% vs. 86.8%, p = 0.45), with no difference in long-term survival (log-rank p = 0.32). Catheter failure rates were comparable (6.5% vs. 6.0%, p = 0.86). Non-surgical interventions for catheter dysfunction occurred in 8.9% of Group A and 8.8% of Group B (p = 0.97), with a success rate of 83.9%. Omental wrapping occurred only in Group A (7.1%) but did not affect overall outcomes. Early and late complications, including peritonitis and obstruction, were similar between groups. Operative time was significantly shorter without omentectomy (45.2 ± 9.1 vs. 66.3 ± 10.8 min, p < 0.001), while hospital stay was comparable.

conclusionRoutine omentectomy does not improve catheter outcomes but increases operative time. A selective approach may be sufficient in pediatric PD catheter placement.

Indexed as

CatheterizationCatheters, IndwellingLaparoscopyOmentumPeritoneal DialysisChild, PreschoolFemaleHumansInfantLength of StayMaleOperative TimeRetrospective StudiesTreatment OutcomeCatheter survivalEnd-stage renal diseaseLaparoscopyOmentectomyPediatric surgeryPeritoneal dialysis

Identifiers

PMID42118170

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