Percutaneous Versus Surgical Insertion of Peritoneal Dialysis Catheters: A Systematic Review and Meta-Analysis.

40 , 43 , 47 , 48 Furthermore, a recent systematic review and meta-analysis comparing advanced laparoscopy to basic laparoscopy and open surgical placement did not find any difference between the surgical techniques in infectious complications (peritonitis and exit-site infections), whereas we found a clear trend favoring percutaneous insertion for those outcomes. 49 In addition, where differences favoring advanced laparoscopy were found (mechanical complications of leaks), the number of studies included and events experienced were low, and the difference was almost entirely driven by 1 study.

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