What do systematic reviews say?

Medical vs open surgical PD catheter insertion

Medical may leads to lower peritonitis compared with open surgical PD catheter insertion (low certainty).

• Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients 2023 · Cochrane Headline outcomes only
  RR 0.21 [0.06, 0.71]
  4 studies · 273 participants
  Low

Percutaneous vs open surgical PD catheter insertion

• Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients 2023 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 96 participants
  Very low

Peritoneoscopic vs open surgical PD catheter insertion

It is very uncertain whether peritoneoscopic changes peritonitis compared with open surgical PD catheter insertion (very low certainty).

• Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients 2023 · Cochrane Headline outcomes only
  RR 0.21 [0.06, 0.71]
  2 studies · 177 participants
  Very low

Laparoscopic vs open surgical PD catheter insertion

Laparoscopic showed no clear difference in peritonitis Time frame: within 4 weeks of PD catheter insertion compared with open surgical PD catheter insertion (low certainty).

• Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients 2023 · Cochrane Headline outcomes only
  RR 0.97 [0.63, 1.48]
  4 studies · 288 participants
  Low