Laparoscopic Versus Open Insertion of Peritoneal Dialysis Catheters in Pediatric Patients: A Systematic Review and Meta-Analysis

jpedsurg.org

Peritoneal dialysis (PD) is frequently preferred for pediatric patients with end-stage renal disease due to its feasibility for home care and superior quality of life. Proper placement of the Tenckhoff catheter is critical for PD success, yet catheter-related complications remain a major concern. Laparoscopic techniques have gained popularity due to enhanced visualization and potential for adjunctive procedures, which may enhance catheter longevity.

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Article · Aug 2025 · 1 min read

In brief

This systematic review compares laparoscopic versus open surgical techniques for placing peritoneal dialysis catheters in children with end-stage renal disease. The analysis examines whether laparoscopic insertion reduces catheter-related complications and improves long-term outcomes compared to traditional open placement methods.

Peritoneal dialysis is preferred in pediatric ESRD for home feasibility and improved quality of life.
Tenckhoff catheter placement technique directly impacts PD success and complication rates.
Laparoscopic insertion offers superior visualization compared to open surgical approaches.
Laparoscopy enables adjunctive procedures during catheter placement to potentially extend catheter lifespan.
Catheter-related complications remain a primary challenge in pediatric peritoneal dialysis management.

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