The Choice of Peritoneal Dialysis Catheter Implantation Technique by Nephrologists

Table 1

Comparison of different methods of peritoneal dialysis catheter implantation.

Method	Trocar and cannula	Seldinger technique	Minilaparotomy	Laparoscopic
Done by	Nephrologist	Nephrologist	Nephrologist/surgeon	Surgeon
Setting	Clean side-room	Clean side-room	Operating theater	Operating theater
Anesthesia	Local anesthesia	Local anesthesia	Local/general anesthesia	General anesthesia
Pros	Short learning time	(i) Short learning time; (ii) Low complication rates	(i) Direct visualization of peritoneum; (ii) Allow purse-string suture of peritoneum; (iii) Low leakage rates	(i) Visualization of intra-abdominal structures; (ii) Allow adjunctive procedures for example Adhesiolysis, omentopexy
Cons	High complication rates	Relatively high early leakage rates	Long learning time	(i) Very long learning time; (ii) High cost; (iii) Specialized equipment needed