Comparison of different techniques for peritoneal dialysis catheter insertion in catheter mechanical dysfunction: a network meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

QIU Xiao , YANG Lichuan ,  LI Zi

Department of Nephrology, West China Hospital of Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

LI Zi, Email: lizihx@163.com

Keywords：

Peritoneal dialysis; Catheter; Insertion; Randomized controlled trial; Cohort study; Network meta-analysis

DOI：

10.7507/1672-2531.201810049

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objectives To systematically review the influence for catheter mechanical dysfunction of different peritoneal dialysis catheterization methods.Methods PubMed, EMbase, The Cochrane Library, CNKI, WanFang Data and VIP databases were searched to collect randomized controlled trials (RCTs) and cohort studies on comparisons of different peritoneal dialysis catheterization from inception to March 31^st, 2018. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies. Network meta-analysis was then performed by using ADDIS 1.16.6 software.Results A total of 33 studies (9 RCTs and 24 cohort studies) involving 3 301 patients were included. Network meta-analysis showed that the incidence of catheter mechanical dysfunctionwas the least and had statistically significant difference compared with that in percutaneous catheterization (OR=3.60; 95%CI, 1.64 and 15.38) and open surgery catheterization (OR=5.86; 95%CI, 2.68 and 14.53). Percutaneous catheterization was superior to open surgery catheterization, but there was no significant difference.Conclusions Laparoscopic catheterization may be the best technique for catheter insertion in peritoneal dialysis considering catheter dysfunction. Each technology has its own advantages. Choice of insertion method should be based on the characteristics of both the patient and the insertion techniques.

Citation： QIU Xiao, YANG Lichuan, LI Zi. Comparison of different techniques for peritoneal dialysis catheter insertion in catheter mechanical dysfunction: a network meta-analysis. Chinese Journal of Evidence-Based Medicine, 2019, 19(6): 680-686. doi: 10.7507/1672-2531.201810049 Copy

1.	Yano Y, Fujimoto S, Asahi K, et al. Prevalence of chronic kidney disease in China. Lancet, 2012, 380(9838): 213-214.
2.	Wang T, Abraham G, Akiba T, et al. Peritoneal dialysis in Asia in the 21st century: perspectives on and obstacles to peritoneal dialysis therapy in Asian countries. Perit Dial Int, 2002, 22(2): 243-248.
3.	Lund L, Jonler M. Peritoneal dialysis catheter placement: Is laparoscopy an option? . Int Urol Nephrol, 2007, 39(2): 625-628.
4.	Crabtree JH. Fluoroscopic placement of peritoneal dialysis catheters: a harvest of the low-hanging fruits. Perit Dial Int, 2008, 28(2): 134-137.
5.	Zaman F. Peritoneal dialysis catheter placement by nephrologist. Perit Dial Int, 2008, 28(28): 138-141.
6.	Jacobs IG, Gray RR, Elliott DS, et al. Radiologic placement of peritoneal dialysis catheters: preliminary experience. Radiology, 1992, 182(1): 251-255.
7.	Chula DC, Campos RP, Riella MC, et al. Percutaneous and surgical insertion of peritoneal catheter in patients starting in chronic dialysis therapy: a comparative study. Seminars in Dialysis, 2014, .
8.	Sun TY, Voss D, Beechey D, et al. Comparison of peritoneal dialysis catheter insertion techniques: peritoneoscopic, radiological and laparoscopic: a single centre study. Nephrology, 2016, 21(5): 416-422.
9.	Xie H, Zhang W, Cheng J, et al. Laparoscopic versus open catheter placement in peritoneal dialysis patients: a systematic review and meta-analysis. BMC Nephrol, 2012, 13: 69.
10.	Hagen SM, Lafranca JA, Steyerberg EW, et al. Laparoscopic versus open peritoneal dialysis catheter insertion: a meta-analysis. PLoS One, 2013, 8(2): e56351.
11.	Chen Y, Shao Y, Xu J. The survival and complication rates of laparoscopic versus open catheter placement in peritoneal dialysis patients: a meta-analysis. Surg Laparosc Endosc Percutan Tech, 2015, 25(5): 440-443.
12.	Qiao Q, Zhou L, Hu K, et al. Laparoscopic versus traditional peritoneal dialysis catheter insertion: a meta analysis. Ren Fail, 2016, 38(5): 838-848.
13.	Shrestha B M, Shrestha D, Kumar A, et al. Advanced laparoscopic peritoneal dialysis catheter insertion: systematic review and meta-analysis. Perit Dial Int, 2018, 38(3): 163-171.
14.	Tullavardhana T, Akranurakkul P, Ungkitphaiboon W, et al. Surgical versus percutaneous techniques for peritoneal dialysis catheter placement: a meta-analysis of the outcomes. Ann Med Surg (Lond), 2016, 10: 11-18.
15.	Boujelbane L, Fu N, Chapla K, et al. Percutaneous versus surgical insertion of PD catheters in dialysis patients: a meta-analysis. Journal of Vascular Access, 2015, 16(6): 498-505.
16.	Higgins J. Cochrane handbook for systematic reviews of interventions. Version 5. 1. 0 [updated March 2011]. The Cochrane Collaboration. Naunyn-Schmiedebergs Archiv für experimentelle Pathologie und Pharmakologie, 2011, 5(2): S38.
17.	Wells GA, Shea B, O’Connell D, et al. The Newcastle-Ottawa Scale(NOS) for assessing the quality of nonrandomized studies in meta-analyses. In Department of Epidemiologyand Commuunity Medicine, University of Ottawa, Room 3227A, 451 SmythRoad, Ottawa, Ontario K1J 8M5, Canada. Available at: http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm. Accessed September3, 2010.
18.	曾宪涛, 张超, 杜亮. 应用ADDIS软件实现网状Meta分析. 中国循证医学杂志, 2013, 13(12): 1508-1515.
19.	Voss D, Hawkins S, Poole G, et al. Radiological versus surgical implantation of first catheter for peritoneal dialysis: a randomized non-inferiority trial. Nephrol Dial Transplant, 2012, 27(11): 4196-4204.
20.	Jwo SC, Chen KS, Lee CC, et al. Prospective randomized study for comparison of open surgery with laparoscopic-assisted placement of Tenckhoff peritoneal dialysis catheter-a single center experience and literature review. J Surg Res, 2010, 159(1): 489-496.
21.	Atapour A, Asadabadi HR, Karimi S, et al. Comparing the outcomes of open surgical procedure and percutaneously peritoneal dialysis catheter (PDC) insertion using laparoscopic needle: A two month follow-up study. J Res Med Sci, 2011, 16(4): 463-468.
22.	Tsimoyiannis EC, Siakas P, Glantzounis G, et al. Laparoscopic placement of the Tenckhoff catheter for peritoneal dialysis. Surg Laparosc Endosc Percutan Tech, 2000, 10(4): 218.
23.	van Laanen JHH, Cornelis T, Mees BM, et al. Randomized controlled trial comparing open versus laparoscopic placement of a peritoneal dialysis catheter and outcomes: the CAPD I trial. Perit Dial Int, 2018, 38(2): 104-112.
24.	Wright MJ, Bel'eed K, Johnson BF, et al. Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion. Perit Dial Int, 1999, 19(4): 372-375.
25.	Gadallah MF, Pervez A, el-Shahawy MA, et al. Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: a prospective randomized study on outcome. Am J Kidney Dis, 1999, 33(1): 118-122.
26.	徐天, 臧潞, 谢静远, 等. 腹腔镜下腹膜透析置管术的疗效及安全性. 肾脏病与透析肾移植杂志, 2010, 19(5): 430-434.
27.	乔青, 卢国元, 徐德宇, 等. 两种腹膜透析置管术的疗效比较. 江苏医药, 2012, 38(23): 2812-2814.
28.	Bircan HY, Kulah E. Effects of a novel peritoneal dialysis: the open versus laparoscopic preperitoneal tunneling technique. Ther Apher Dial, 2016, 20(1): 66-72.
29.	Draganic B, James A, Booth M, et al. Comparative experience of a simple technique for laparoscopic chronic ambulatory peritoneal dialysis catheter placement. Anz Journal of Surgery, 2010, 68(10): 735-739.
30.	Bae IE, Chung WK, Choi ST, et al. Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion. J Korean Surg Soc, 2012, 83(6): 381-387.
31.	Gajjar AH, Rhoden DH, Kathuria P, et al. Peritoneal dialysis catheters: laparoscopic versus traditional placement techniques and outcomes. Am J Surg, 2007, 194(6): 872-876.
32.	Batey CA, Crane JJ, Jenkins MA, et al. Mini-laparoscopy-assisted placement of Tenckhoff catheters: an improved technique to facilitate peritoneal dialysis. J Endourol, 2002, 16(9): 681-684.
33.	Li JR, Chen WM, Yang CK, et al. A novel method of laparoscopy-assisted peritoneal dialysis catheter placement. Surg Laparosc Endosc Percutan Tech, 2011, 21(2): 106-110.
34.	Oğünç G, Tuncer M, Oğünç D, et al. Laparoscopic omental fixation technique versus open surgical placement of peritoneal dialysis catheters. Surg Endosc, 2003, 17(11): 1749-1755.
35.	Alhwiesh A. Percutaneous versus laparoscopic placement of peritoneal dialysis catheters: simplicity and favorable outcome. Saudi J Kidney Dis Transpl, 2014, 25(6): 1194-201.
36.	Darrigol O. The comparison in terms of early complications of a new technique and percutaneous method for the placement of CAPD catheters. Ren Fail, 2006, 28(1): 37.
37.	Mellotte GJ, Ho CA, Morgan SH, et al. Peritoneal dialysis catheters: a comparison between percutaneous and conventional surgical placement techniques. Nephrol Dial Transplant, 1993, 8(7): 626-30.
38.	Park YS, Min SI, Kim DK, et al. The outcomes of percutaneous versus open placement of peritoneal dialysis catheters. World J Surg, 2014, 38(5): 1058-1064.
39.	Ozener C, Bihorac A, Akoglu E. Technical survival of CAPD catheters: comparison between percutaneous and conventional surgical placement techniques. Nephrol Dial Transplant, 2001, 16(9): 1893-1899.
40.	Eklund B, Groop PH, Halme L, et al. Peritoneal dialysis access: a comparison of peritoneoscopic and surgical insertion techniques. Scand J Urol Nephrol, 1998, 32(6): 405-408.
41.	Soontrapornchai P, Simapatanapong T. Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters. Surg Endosc, 2005, 19(1): 137-139.
42.	Maher E, Wolley MJ, Abbas SA, et al. Fluoroscopic versus laparoscopic implantation of peritoneal dialysis catheters: a retrospective cohort study. J Vasc Interv Radiol, 2014, 25(6): 895-903.
43.	李赞林, 李义亮, 阿里木, 等. 腹腔镜下腹膜透析置管与开腹腹膜透析置管的临床疗效对比. 新疆中医药, 2018, 36(01): 28-30.
44.	周成明, 赵新, 张金辉, 等. 腹腔镜与开腹腹膜透析置管术式比较. 新疆医科大学学报, 2014, 37(5): 598-602.
45.	陶海燕. 腹腔镜置管术与手术切开置管术在腹膜透析中的比较观察. 微创医学, 2017, 12(2): 295-296.
46.	姜鸿, 李义亮, 贾依娜西, 等. 两种腹膜透析手术置管术的临床对比研究. 现代生物医学进展, 2012, 12(30): 5878-5881.
47.	孙祯甫, 蒋喜平, 田秋菊, 等. 初次紧急腹膜透析腹腔镜置管术与传统开腹置管术的效果比较. 菏泽医学专科学校学报, 2017, 29(3): 26-28.
48.	谢平, 袁利, 刘峰. 腹腔镜下腹膜透析置管术与开腹手术的疗效及安全性比较. 河北医学, 2014, 20(4): 562-566.
49.	李淼, 吴歌, 刘章锁. 腹腔镜下腹膜透析置管术与开腹手术技术生存率的比较. 临床肾脏病杂志, 2015, 15(7): 401-405.
50.	敖翔, 周巧玲, 聂晚年, 等. 腹腔镜下腹膜透析置管与传统开腹置管的临床对比研究. 中国血液净化, 2012, 11(10): 544-548.
51.	张豪杰, 徐鹏杰, 裘晓蕙, 等. 腹腔镜下腹膜透析置管与传统开腹置管术后近期及远期并发症比较. 浙江创伤外科, 2012, 22(2): 364-365.
52.	何强, 沈晓刚. 腹膜透析患者腹膜透析管的选择及置管方式的探讨. 中国血液净化, 2016, 15(10): 566-568.
53.	韩庆烽, 孙玲华, 聂建东, 等. 经皮穿刺腹膜透析置管术的临床应用. 中国血液净化, 2014, 13(10): 686-688.
54.	熊飞, 余秉治, 龚昭, 等. 腹腔镜腹膜透析置管术的临床应用. 中华肾脏病杂志, 2006, 22(3): 186.
55.	李义亮, 杜秀云, 阿里木, 等. 腹腔镜下腹膜透析置管术的临床应用. 临床外科杂志, 2017, 25(1): 58-60.
56.	Asif A. Peritoneal dialysis access-related procedures by nephrologists. Semin Dial, 2004, 17(5): 398-406.
57.	Li Z, Abreu Z, Penner T, et al. Analysis of hospitalization after peritoneal dialysis catheter implantation. Perit Dial Int, 2016, 36(5): 540-546.

1. Yano Y, Fujimoto S, Asahi K, et al. Prevalence of chronic kidney disease in China. Lancet, 2012, 380(9838): 213-214.
2. Wang T, Abraham G, Akiba T, et al. Peritoneal dialysis in Asia in the 21st century: perspectives on and obstacles to peritoneal dialysis therapy in Asian countries. Perit Dial Int, 2002, 22(2): 243-248.
3. Lund L, Jonler M. Peritoneal dialysis catheter placement: Is laparoscopy an option? . Int Urol Nephrol, 2007, 39(2): 625-628.
4. Crabtree JH. Fluoroscopic placement of peritoneal dialysis catheters: a harvest of the low-hanging fruits. Perit Dial Int, 2008, 28(2): 134-137.
5. Zaman F. Peritoneal dialysis catheter placement by nephrologist. Perit Dial Int, 2008, 28(28): 138-141.
6. Jacobs IG, Gray RR, Elliott DS, et al. Radiologic placement of peritoneal dialysis catheters: preliminary experience. Radiology, 1992, 182(1): 251-255.
7. Chula DC, Campos RP, Riella MC, et al. Percutaneous and surgical insertion of peritoneal catheter in patients starting in chronic dialysis therapy: a comparative study. Seminars in Dialysis, 2014, .
8. Sun TY, Voss D, Beechey D, et al. Comparison of peritoneal dialysis catheter insertion techniques: peritoneoscopic, radiological and laparoscopic: a single centre study. Nephrology, 2016, 21(5): 416-422.
9. Xie H, Zhang W, Cheng J, et al. Laparoscopic versus open catheter placement in peritoneal dialysis patients: a systematic review and meta-analysis. BMC Nephrol, 2012, 13: 69.
10. Hagen SM, Lafranca JA, Steyerberg EW, et al. Laparoscopic versus open peritoneal dialysis catheter insertion: a meta-analysis. PLoS One, 2013, 8(2): e56351.
11. Chen Y, Shao Y, Xu J. The survival and complication rates of laparoscopic versus open catheter placement in peritoneal dialysis patients: a meta-analysis. Surg Laparosc Endosc Percutan Tech, 2015, 25(5): 440-443.
12. Qiao Q, Zhou L, Hu K, et al. Laparoscopic versus traditional peritoneal dialysis catheter insertion: a meta analysis. Ren Fail, 2016, 38(5): 838-848.
13. Shrestha B M, Shrestha D, Kumar A, et al. Advanced laparoscopic peritoneal dialysis catheter insertion: systematic review and meta-analysis. Perit Dial Int, 2018, 38(3): 163-171.
14. Tullavardhana T, Akranurakkul P, Ungkitphaiboon W, et al. Surgical versus percutaneous techniques for peritoneal dialysis catheter placement: a meta-analysis of the outcomes. Ann Med Surg (Lond), 2016, 10: 11-18.
15. Boujelbane L, Fu N, Chapla K, et al. Percutaneous versus surgical insertion of PD catheters in dialysis patients: a meta-analysis. Journal of Vascular Access, 2015, 16(6): 498-505.
16. Higgins J. Cochrane handbook for systematic reviews of interventions. Version 5. 1. 0 [updated March 2011]. The Cochrane Collaboration. Naunyn-Schmiedebergs Archiv für experimentelle Pathologie und Pharmakologie, 2011, 5(2): S38.
17. Wells GA, Shea B, O’Connell D, et al. The Newcastle-Ottawa Scale(NOS) for assessing the quality of nonrandomized studies in meta-analyses. In Department of Epidemiologyand Commuunity Medicine, University of Ottawa, Room 3227A, 451 SmythRoad, Ottawa, Ontario K1J 8M5, Canada. Available at: http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm. Accessed September3, 2010.
18. 曾宪涛, 张超, 杜亮. 应用ADDIS软件实现网状Meta分析. 中国循证医学杂志, 2013, 13(12): 1508-1515.
19. Voss D, Hawkins S, Poole G, et al. Radiological versus surgical implantation of first catheter for peritoneal dialysis: a randomized non-inferiority trial. Nephrol Dial Transplant, 2012, 27(11): 4196-4204.
20. Jwo SC, Chen KS, Lee CC, et al. Prospective randomized study for comparison of open surgery with laparoscopic-assisted placement of Tenckhoff peritoneal dialysis catheter-a single center experience and literature review. J Surg Res, 2010, 159(1): 489-496.
21. Atapour A, Asadabadi HR, Karimi S, et al. Comparing the outcomes of open surgical procedure and percutaneously peritoneal dialysis catheter (PDC) insertion using laparoscopic needle: A two month follow-up study. J Res Med Sci, 2011, 16(4): 463-468.
22. Tsimoyiannis EC, Siakas P, Glantzounis G, et al. Laparoscopic placement of the Tenckhoff catheter for peritoneal dialysis. Surg Laparosc Endosc Percutan Tech, 2000, 10(4): 218.
23. van Laanen JHH, Cornelis T, Mees BM, et al. Randomized controlled trial comparing open versus laparoscopic placement of a peritoneal dialysis catheter and outcomes: the CAPD I trial. Perit Dial Int, 2018, 38(2): 104-112.
24. Wright MJ, Bel'eed K, Johnson BF, et al. Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion. Perit Dial Int, 1999, 19(4): 372-375.
25. Gadallah MF, Pervez A, el-Shahawy MA, et al. Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: a prospective randomized study on outcome. Am J Kidney Dis, 1999, 33(1): 118-122.
26. 徐天, 臧潞, 谢静远, 等. 腹腔镜下腹膜透析置管术的疗效及安全性. 肾脏病与透析肾移植杂志, 2010, 19(5): 430-434.
27. 乔青, 卢国元, 徐德宇, 等. 两种腹膜透析置管术的疗效比较. 江苏医药, 2012, 38(23): 2812-2814.
28. Bircan HY, Kulah E. Effects of a novel peritoneal dialysis: the open versus laparoscopic preperitoneal tunneling technique. Ther Apher Dial, 2016, 20(1): 66-72.
29. Draganic B, James A, Booth M, et al. Comparative experience of a simple technique for laparoscopic chronic ambulatory peritoneal dialysis catheter placement. Anz Journal of Surgery, 2010, 68(10): 735-739.
30. Bae IE, Chung WK, Choi ST, et al. Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion. J Korean Surg Soc, 2012, 83(6): 381-387.
31. Gajjar AH, Rhoden DH, Kathuria P, et al. Peritoneal dialysis catheters: laparoscopic versus traditional placement techniques and outcomes. Am J Surg, 2007, 194(6): 872-876.
32. Batey CA, Crane JJ, Jenkins MA, et al. Mini-laparoscopy-assisted placement of Tenckhoff catheters: an improved technique to facilitate peritoneal dialysis. J Endourol, 2002, 16(9): 681-684.
33. Li JR, Chen WM, Yang CK, et al. A novel method of laparoscopy-assisted peritoneal dialysis catheter placement. Surg Laparosc Endosc Percutan Tech, 2011, 21(2): 106-110.
34. Oğünç G, Tuncer M, Oğünç D, et al. Laparoscopic omental fixation technique versus open surgical placement of peritoneal dialysis catheters. Surg Endosc, 2003, 17(11): 1749-1755.
35. Alhwiesh A. Percutaneous versus laparoscopic placement of peritoneal dialysis catheters: simplicity and favorable outcome. Saudi J Kidney Dis Transpl, 2014, 25(6): 1194-201.
36. Darrigol O. The comparison in terms of early complications of a new technique and percutaneous method for the placement of CAPD catheters. Ren Fail, 2006, 28(1): 37.
37. Mellotte GJ, Ho CA, Morgan SH, et al. Peritoneal dialysis catheters: a comparison between percutaneous and conventional surgical placement techniques. Nephrol Dial Transplant, 1993, 8(7): 626-30.
38. Park YS, Min SI, Kim DK, et al. The outcomes of percutaneous versus open placement of peritoneal dialysis catheters. World J Surg, 2014, 38(5): 1058-1064.
39. Ozener C, Bihorac A, Akoglu E. Technical survival of CAPD catheters: comparison between percutaneous and conventional surgical placement techniques. Nephrol Dial Transplant, 2001, 16(9): 1893-1899.
40. Eklund B, Groop PH, Halme L, et al. Peritoneal dialysis access: a comparison of peritoneoscopic and surgical insertion techniques. Scand J Urol Nephrol, 1998, 32(6): 405-408.
41. Soontrapornchai P, Simapatanapong T. Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters. Surg Endosc, 2005, 19(1): 137-139.
42. Maher E, Wolley MJ, Abbas SA, et al. Fluoroscopic versus laparoscopic implantation of peritoneal dialysis catheters: a retrospective cohort study. J Vasc Interv Radiol, 2014, 25(6): 895-903.
43. 李赞林, 李义亮, 阿里木, 等. 腹腔镜下腹膜透析置管与开腹腹膜透析置管的临床疗效对比. 新疆中医药, 2018, 36(01): 28-30.
44. 周成明, 赵新, 张金辉, 等. 腹腔镜与开腹腹膜透析置管术式比较. 新疆医科大学学报, 2014, 37(5): 598-602.
45. 陶海燕. 腹腔镜置管术与手术切开置管术在腹膜透析中的比较观察. 微创医学, 2017, 12(2): 295-296.
46. 姜鸿, 李义亮, 贾依娜西, 等. 两种腹膜透析手术置管术的临床对比研究. 现代生物医学进展, 2012, 12(30): 5878-5881.
47. 孙祯甫, 蒋喜平, 田秋菊, 等. 初次紧急腹膜透析腹腔镜置管术与传统开腹置管术的效果比较. 菏泽医学专科学校学报, 2017, 29(3): 26-28.
48. 谢平, 袁利, 刘峰. 腹腔镜下腹膜透析置管术与开腹手术的疗效及安全性比较. 河北医学, 2014, 20(4): 562-566.
49. 李淼, 吴歌, 刘章锁. 腹腔镜下腹膜透析置管术与开腹手术技术生存率的比较. 临床肾脏病杂志, 2015, 15(7): 401-405.
50. 敖翔, 周巧玲, 聂晚年, 等. 腹腔镜下腹膜透析置管与传统开腹置管的临床对比研究. 中国血液净化, 2012, 11(10): 544-548.
51. 张豪杰, 徐鹏杰, 裘晓蕙, 等. 腹腔镜下腹膜透析置管与传统开腹置管术后近期及远期并发症比较. 浙江创伤外科, 2012, 22(2): 364-365.
52. 何强, 沈晓刚. 腹膜透析患者腹膜透析管的选择及置管方式的探讨. 中国血液净化, 2016, 15(10): 566-568.
53. 韩庆烽, 孙玲华, 聂建东, 等. 经皮穿刺腹膜透析置管术的临床应用. 中国血液净化, 2014, 13(10): 686-688.
54. 熊飞, 余秉治, 龚昭, 等. 腹腔镜腹膜透析置管术的临床应用. 中华肾脏病杂志, 2006, 22(3): 186.
55. 李义亮, 杜秀云, 阿里木, 等. 腹腔镜下腹膜透析置管术的临床应用. 临床外科杂志, 2017, 25(1): 58-60.
56. Asif A. Peritoneal dialysis access-related procedures by nephrologists. Semin Dial, 2004, 17(5): 398-406.
57. Li Z, Abreu Z, Penner T, et al. Analysis of hospitalization after peritoneal dialysis catheter implantation. Perit Dial Int, 2016, 36(5): 540-546.

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Comparison of different techniques for peritoneal dialysis catheter insertion in catheter mechanical dysfunction: a network meta-analysis

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