Iankovoĭ A G, Vatazin A V, Filizhanko V N, Smoliakov A A, Losev G Iu
Urologiia. 2010 Mar-Apr(2):51-4.
The aim of our study was analysis of efficacy of laparoscopic operations for treatment of complications arising in patients with terminal chronic renal failure (TCRF) on peritoneal dialysis (PH). A total of 86 TCRF patients participated in the trial. The study group consisted of 36 patients who have undergone laparoscopic surgery for correction of dysfunction of the peritoneal catheter, for treatment of acute and progressive chronic diseases of the abdomen. A control group included 50 patients treated with laparotomy. All the patients were on the dialysis for 1-48 months. After laparoscopic operations 7 patients were switched on hemodialysis. In the control group peritoneal dialysis was discontinued in 30% patients, lethality in this group was twice higher. Thus, laparoscopic operations allow prolongation of peritoneal dialysis in dysfunction of peritoneal catheter and in development of acute and progression of chronic surgical diseases of the abdomen.
我们研究的目的是分析腹腔镜手术治疗终末期慢性肾衰竭（TCRF）患者腹膜透析（PH）并发症的疗效。共有86例TCRF患者参与了试验。研究组由36例接受腹腔镜手术以纠正腹膜导管功能障碍、治疗腹部急慢性进行性疾病的患者组成。对照组包括50例行剖腹手术治疗的患者。所有患者均接受了1至48个月的透析治疗。腹腔镜手术后，7例患者转为血液透析。在对照组中，30%的患者停止了腹膜透析，该组的死亡率高出两倍。因此，腹腔镜手术可延长腹膜透析在腹膜导管功能障碍以及腹部急慢性外科疾病进展时的使用时间。
