Nicholson M L, Burton P R, Donnelly P K, Veitch P S, Walls J
Department of Surgery, Leicester General Hospital, United Kingdom.
Perit Dial Int. 1991;11(4):330-2.
Long-term survival of the peritoneal catheter is essential for successful CAPD. In our unit, all CAPD catheters are now placed by an open surgical technique, which in some cases has included performing a partial omentectomy. The aim of this study was to assess the influence of omentectomy on CAPD catheter survival. Three hundred consecutive CAPD catheters inserted over a 5-year period were analyzed. Omentectomy was performed in 113 cases (38%). Data relating to a number of potentially significant risk/benefit factors were analyzed using multiple regression analysis (proportional hazards method of Cox). Performing a partial omentectomy at the time of catheter insertion was found to significantly improve CAPD catheter survival (p = 0.0002).
腹膜透析导管的长期存活对于持续性非卧床腹膜透析（CAPD）的成功至关重要。在我们科室，目前所有CAPD导管均通过开放手术技术置入，在某些情况下还包括进行部分大网膜切除术。本研究的目的是评估大网膜切除术对CAPD导管存活的影响。分析了在5年期间连续插入的300根CAPD导管。113例（38%）进行了大网膜切除术。使用多元回归分析（Cox比例风险法）分析了一些潜在的重要风险/获益因素的数据。发现在导管插入时进行部分大网膜切除术可显著提高CAPD导管的存活率（p = 0.0002）。
