| | Advantages | Disadvantages |
| Percutaneous (bedside) | - Can be performed at the bedside to allow immediate initiation of dialysis
- Clinician can be trained to perform the procedure
| - Risk of bowel or bladder injury
- Not suitable for patients with previous major abdominal surgery or other risk factors for adhesions
|
| Open surgical | - Available in most countries
- Cost of consumables lower than with laparoscopy
- Additional adjunctive procedures can be performed simultaneously, such as rectus sheath tunneling and omentopexy, etc
- Ability to place the catheter in the pelvis under vision
| - Needs surgical scheduling, which might introduce delays in providing peritoneal dialysis
- Higher incidence of pericatheter dialysate leak
|
| Laparoscopy | - Lower incidence of pericatheter dialysate leak
- Additional adjunctive procedures can be performed simultaneously, such as rectus sheath tunneling and omentopexy, etc
- Ability to place the catheter in the pelvis under vision
| - Needs surgical scheduling, which might introduce delays in providing peritoneal dialysis
- Skilled personnel necessary
- High cost of consumables
|
