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성인 말기 신부전 환자에서 2공식 복강경 복막 투석관 삽입술의 초기경험
Laparoscopic Continuous Ambulatory Peritoneal Dialysis (CAPD) Catheter Placement Using a Two-Port Method in Adult End-stage Renal Disease (ESRD) Patients: Early Experience

Journal of Minimally Invasive Surgery 2014년 17권 1호 p.5 ~ p.8

최건무(Choi Gun-Moo) - 울산대학교 의과대학 강릉아산병원 외과
송경일(Song Kyung-Il) - 울산대학교 의과대학 강릉아산병원 신장내과

Abstract

Purpose: Laparoscopy is being widely utilized beyond the field of surgery. We report on the early experience of laparo-scopic CAPD catheter placement in adult ESRD patients. In addition, we investigate the question of whether laparoscopic CAPD catheter insertion can be used as a feasible long-term procedure.

Methods: Laparoscopic CAPD catheter placement was per-formed in 28 patients by one surgeon, between June, 2010 and October, 2013, and observed. A retrospective outcome study was conducted based on review of medical records.
Results: A total of 28 laparoscopic procedures were performed. The mean age of patients who underwent laparo-scopic placement of a catheter was 60.3 years old. The most common cause of ESRD was uncontrolled hypertension com-bined with diabetes. The procedure took 45.7 minutes. Peritoneal dialysis was introduced on postoperative day eight, after one week of daily washing and no dialysate leaks were observed. Two incidences of catheter-related complications were observed: one incidence of catheter obstruction (due to its migration and omental wrapping, which was managed with surgical removal) and one incidence of peritonitis (which was controlled with antibiotics).

Conclusion: Laparoscopic CAPD catheter placement using two ports is a simple procedure with minimal complication. Laparoscopic CAPD catheter placement will gain greater ac-ceptance as an alternative to the traditional method of CAPD catheter placement.

키워드

Laparoscopy, CAPD placement, ESRD

KMID : 1035920140170010005

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건강보험코드

성인 말기 신부전 환자에서 2공식 복강경 복막 투석관 삽입술의 초기경험 Laparoscopic Continuous Ambulatory Peritoneal Dialysis (CAPD) Catheter Placement Using a Two-Port Method in Adult End-stage Renal Disease (ESRD) Patients: Early Experience

Abstract

키워드

성인 말기 신부전 환자에서 2공식 복강경 복막 투석관 삽입술의 초기경험
Laparoscopic Continuous Ambulatory Peritoneal Dialysis (CAPD) Catheter Placement Using a Two-Port Method in Adult End-stage Renal Disease (ESRD) Patients: Early Experience