Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Perit Dial Int. 2013 Jan-Feb;33(1):46-50. doi: 10.3747/pdi.2011.00237. Epub 2012 Sep 1.
Catheter malfunction is a common and significant complication during peritoneal dialysis (PD). We developed a minilaparotomy procedure to rescue malfunctioning catheters and to prevent recurrence of malfunction.
From 2006 to 2011, 11 patients receiving PD had a malfunctioning catheter. In all patients, a 2-cm incision, 5 cm caudally to the previous peritoneal entry site was used to correct the malfunctioning catheter, with concomitant fixation of the catheter to the peritoneum.
Catheter tip migration occurred in 7 patients, omental wrapping in 3, and blood clot obstruction in 1. The mean onset time to catheter malfunction was 197.5 days (range: 4 - 1270 days), and the mean operating time was 41 minutes (range: 35 - 56 minutes). There was no recurrence of catheter malfunction and no surgery-related peritonitis.
Our minilaparotomy procedure is safe and feasible for the salvage of malfunctioning PD catheters.
导管故障是腹膜透析（PD）过程中常见且严重的并发症。我们开发了一种小剖腹术程序来抢救故障导管，并防止故障再次发生。
2006 年至 2011 年间，11 名接受 PD 的患者的导管发生故障。在所有患者中，在距先前腹膜进入部位下方 5 厘米处使用 2 厘米切口，以纠正故障导管，并同时将导管固定到腹膜上。
7 例患者出现导管尖端迁移，3 例患者出现网膜包裹，1 例患者出现血凝块阻塞。导管故障的平均发病时间为 197.5 天（范围：4-1270 天），平均手术时间为 41 分钟（范围：35-56 分钟）。没有导管故障的复发，也没有与手术相关的腹膜炎。
我们的小剖腹术程序对于抢救故障 PD 导管是安全且可行的。
