■ Continuous peritoneal dialysis is an effective treatment for patients with renal failure.

■ The open technique placement of continuous ambulatory peritoneal dialysis catheter is still the standard procedure.

■ Current results of continuous ambulatory peritoneal dialysis catheter placement under direct peritoneoscopic or laparoscopic vision are encouraging

■ The peritoneoscopy-assisted technique is very similar to laparoscopy-assisted technique and can be performed by nonsurgeon physicians (nephrologists).

■ Laparoscopy-assisted technique allows the surgeon to fix the catheter to the abdominal wall to prevent catheter migration.

■ Laparoscopy is also increasingly used as a technique for salvage of the malpositioned or blocked catheter. It is also associated with decreased infection, more rapid onset of use, decreased complication, and improved patient comfort.

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