No major advantages from any of the catheter-related interventions which have been purported to reduce the risk of PD peritonitis could be demonstrated in this review. The frequency and quality of available trials are suboptimal.
Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion.
To compare laparoscopic and conventional peritoneal dialysis catheter insertion with respect to post operative discomfort, complication rates, and catheter survival.
                Randomized prospective study.
                Tertiary referral renal unit.
                Fifty patients commencing peritoneal dialysis.
                Catheters were implanted laparoscopically or by a conventional surgical technique.
                The duration of surgery, hospital stay, pain scores, and analgesic requirements were recorded. Complications (early/late) and catheter survival were compared.
                The conventional procedure was faster than the laparoscopic (14.3 vs 21.9 minutes, p < 0.0001). There was no difference in any other parameter assessed.
                The data suggest that the insertion techniques are equivalent, and that laparoscopic insertion does not reduce early complication rates.