Application of low position percutaneous puncture plus rectus abdominis anterior sheath tunnel operation for peritoneal dialysis catheterization of end-stage renal disease.
Source: PubMed, NCBI / U.S. National Library of Medicine
Peritoneal dialysis (PD) is a key treatment for end-stage renal disease (ESRD), with catheter placement being crucial for success. This study evaluates the effectiveness of low-position percutaneous puncture combined with the rectus abdominis anterior sheath tunnel (LPCCISTT) technique, comparing it to traditional open abdominal catheter placement (OACP). This retrospective study included 420 ESRD patients that came from Liaocheng People's Hospital between the months of January 2020 and February 2022. Patients were divided into two groups: 180 underwent LPCCISTT and 240 received OACP. Data on operative details, recovery, complications, and survival outcome of PD catheter were analyzed. Surgical indicators included incision length, operative time, intraoperative blood loss, and complications. Recovery outcomes focused on length of hospital stay, and postoperative pain. The LPCCISTT group demonstrated significantly shorter incisions, reduced operative time, and less blood loss compared to the OACP group (<0.001). Postoperative recovery was faster, with shorter hospital stays (<0.001) in the LPCCISTT group. The LPCCISTT group demonstrated fewer mechanical catheter complications and infection rates (<0.001), particularly in catheter displacement, non-displacement dysfunction, PD fluid leakage (<0.032), and exit-site/tunnel infections (<0.046). Catheter survival and technical success rates were significantly higher in the LPCCISTT group (= 0.034 and= 0.025 respectively). The obsta
Abstract
Peritoneal dialysis (PD) is a key treatment for end-stage renal disease (ESRD), with catheter placement being crucial for success. This study evaluates the effectiveness of low-position percutaneous puncture combined with the rectus abdominis anterior sheath tunnel (LPCCISTT) technique, comparing it to traditional open abdominal catheter placement (OACP). This retrospective study included 420 ESRD patients that came from Liaocheng People's Hospital between the months of January 2020 and February 2022. Patients were divided into two groups: 180 underwent LPCCISTT and 240 received OACP. Data on operative details, recovery, complications, and survival outcome of PD catheter were analyzed. Surgical indicators included incision length, operative time, intraoperative blood loss, and complications. Recovery outcomes focused on length of hospital stay, and postoperative pain. The LPCCISTT group demonstrated significantly shorter incisions, reduced operative time, and less blood loss compared to the OACP group (<0.001). Postoperative recovery was faster, with shorter hospital stays (<0.001) in the LPCCISTT group. The LPCCISTT group demonstrated fewer mechanical catheter complications and infection rates (<0.001), particularly in catheter displacement, non-displacement dysfunction, PD fluid leakage (<0.032), and exit-site/tunnel infections (<0.046). Catheter survival and technical success rates were significantly higher in the LPCCISTT group (= 0.034 and= 0.025 respectively). The obstacle-free survival (OFS) and overall survival (OS) of the catheters were both significantly prolonged (<0.001). LPCCISTT is a safer and more effective method than OACP. It has shorter operation time, faster patient recovery, fewer complications, and makes better use of hospital resources.