https://www.db-thueringen.de/receive/dbt_mods_00068523https://www.db-thueringen.de/servlets/MCRFileNodeServlet/dbt_derivate_00069909/00423_2025_Article_3901.pdfhttps://www.db-thueringen.de/rsc/thumbnail/dbt_mods_00068523.png text article Surgical risk factors for technical survival of peritoneal dialysis catheters Pollmann, Lukas Pollmann Lukas Department of General and Visceral Surgery, Klinikum Dortmund gGmbH University Hospital of the University Witten/Herdecke Beurhausstraße 40 44137 Dortmund Germany aut Author 0000-0002-8810-7106 article Pollmann, Nicola S. Pollmann Nicola S. Department of General-, Visceral and Transplant Surgery University Hospital Jena Am Klinikum 1 07747 Jena Germany aut Author 1299854729 Jürgens, Claudius Jürgens Claudius Department of General and Visceral Surgery, Klinikum Dortmund gGmbH University Hospital of the University Witten/Herdecke Beurhausstraße 40 44137 Dortmund Germany aut Author Özcan, Fedai Özcan Fedai Department of Nephrology Witten/Herdecke University Klinikum Dortmund gGmbH, Beurhausstraße 40 44137 Dortmund Germany aut Author Brinkhoff, Alexandra Brinkhoff Alexandra Department of Nephrology Witten/Herdecke University Klinikum Dortmund gGmbH, Beurhausstraße 40 44137 Dortmund Germany aut Author urn:nbn:de:gbv:27-dbt-68523-1 Schmeding, Maximilian Schmeding Maximilian Department of General and Visceral Surgery, Klinikum Dortmund gGmbH University Hospital of the University Witten/Herdecke Beurhausstraße 40 44137 Dortmund Germany aut Author 10.1007/s00423-025-03901-7 2025-11-10 411 1 8 1 8 continuingjournal journal Langenbeck's Archives of Surgery continues Langenbecks Archiv für Chirurgie 1435-2443 1435-2451 Springer 1948 Berlin text en 610 Purpose Peritoneal dialysis has been demonstrated to be a cost-effective modality of dialysis treatment, providing a greater quality of life in comparison to hemodialysis. However, complications associated with the peritoneal dialysis catheter (PD catheter) can lead to increased patient morbidity and thus the necessity of PD catheter removal. While prior studies have identified patient-related risk factors, the impact of various surgical risk factors on technical survival is yet to be elucidated. Methods A retrospective, monocentric cohort study was conducted including all patients who underwent PD catheter implantation through an open surgical technique utilizing a small surgical incision above the rectus abdominis muscle from January 2010 to March 2022. The technical survival of PD catheters was observed retrospectively over a period of three years and the reasons for PD catheter removal were summarized. Furthermore, Cox regression analysis was conducted to evaluate potential risk factors for a reduced technical survival. Results A total of 340 patients were included, and a median PD catheter functionality of 980 days was presented in this study. The main reasons for PD catheter removal included infectious complications and mechanical malfunctions. Postoperative revision was identified as a significant risk factor for a reduced technical survival. Conclusion PD catheter implantation through a small surgical incision showed a high long-term functionality regardless of prior abdominal surgery, prior PD catheter implantation, or the necessity of adhesiolysis. Only postoperative revision was identified as a significant risk factor for PD catheter removal. Trial registration The study was registered in the German clinical trial database (Application number DRKS00036575, registration date 19.05.2025). Peritoneal dialysis Peritoneal dialysis catheter PD catheter removal Technical survival Postoperative revision End-stage renal disease en 8 Seiten 610 his Host institution bibliography Zweitveröffentlichung dbt_mods_00068523https://www.db-thueringen.de/receive/dbt_mods_00068523