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Peritoneal dialysis catheter implantation: technical aspects, challenges, and current perspectives
Domingos Candiota Chula1,2, Rodrigo Peixoto Campos1,2,3, Ricardo Portiolli Franco2,4
1Universidade Federal do Paraná, Complexo Hospital de Clínicas, Curitiba, PR, Brazil.
Jornal Brasileiro De Nefrologia
|February 23, 2026
Summary
Peritoneal dialysis (PD) access placement faces barriers in Brazil. Minimally invasive techniques and nephrologist involvement can improve outcomes and expand PD use.
Area of Science:
- Nephrology
- Surgical Techniques
- Medical Devices
Background:
- Peritoneal dialysis (PD) success relies on functional peritoneal access.
- The Tenckhoff catheter is widely used, but PD prevalence in Brazil is limited by access placement barriers.
Purpose of the Study:
- To critically review PD access placement methods, focusing on technical aspects, outcomes, and complications.
- To identify strategies for improving PD access and expanding PD utilization.
Main Methods:
- Review of conventional surgery, percutaneous methods (ultrasound/fluoroscopy-guided), and videolaparoscopic placement.
- Emphasis on technical aspects, clinical outcomes, and complication rates.
Main Results:
- Percutaneous approaches offer low complication rates and satisfactory catheter survival.
- Videolaparoscopic placement shows superior results but involves greater complexity.
- Study heterogeneity limits definitive conclusions, necessitating randomized trials.
Conclusions:
- Imaging guidance and nephrologist involvement are crucial for accuracy, reduced delays, and optimized outcomes.
- Standardization and minimally invasive techniques can strengthen PD as a therapeutic option.
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