Current evidence on the safety and efficacy of laparoscopic insertion of peritoneal dialysis catheter appears adequate to support the use of this procedure provided that the normal arrangements are in place for consent, audit and clinical governance.
Clinicians should ensure that patients understand the potential risks and benefits of the procedure, and the alternatives, and should provide patients with clear written information. In addition, use of NICE's information for the public is recommended.
The evidence on the selection of patients for this technique of peritoneal dialysis catheter insertion is unclear. Publication of further relevant evidence will be useful in guiding clinical practice.