Gudelj Miodrag, Kunišek Leon, Zelić Marko, Bačić Giordano, Mendrila Davor, Ćepić Ivica, Mihaljević Domagoj, Rahelić Dražen, Grbas Harry
Acta Med Croatica. 2014 Dec;68(4-5):411-5.
The aim was to analyze our results and complications in laparoscopic-assisted placement of the Tenckhoff catheter for peritoneal dialysis in comparison with results reported in the literature. Fifty patients were included in this retrospective analysis. From January 2000 to November 2010, they underwent laparoscopic-assisted placement of catheter for peritonea dialysis at the University Department of Surgery, Rijeka University Hospital Center. The results of this approach, early and late postoperative complications, conversions to open technique, and reoperation rate were analyzed. The complications that occurred within the first 4 weeks were considered as early complications. In 23 patients, 29 complications were recorded. There were 18 early complications, of which 2 acute peritonitis, 2 ileus, 4 bleeding, 4 catheter infection, 3 fluid leakage, 2 catheter malpositioning and 1 genital edema. There were 11 late complications, of which 5 acute peritonitis, 1 recurrent peritonitis, 1 bleeding, 1 catheter infection, 1 catheter malpositioning, 1 fluid leakage and 1 port site hernia. There were no deaths after surgery or any complications disabling the implementation of peritonea dialysis. In patients with end-stage renal disease, laparoscopic-assisted placement of catheter for peritoneal dialysis is a safe and appropriate method of treatment
本研究旨在分析腹腔镜辅助下Tenckhoff导管置入术用于腹膜透析的结果及并发症,并与文献报道的结果进行比较。本回顾性分析纳入了50例患者。2000年1月至2010年11月期间,他们在里耶卡大学医院中心外科大学部接受了腹腔镜辅助下的腹膜透析导管置入术。分析了该方法的结果、术后早期和晚期并发症、转为开放手术的情况以及再次手术率。术后前4周内发生的并发症被视为早期并发症。23例患者共记录了29例并发症。早期并发症有18例,其中2例急性腹膜炎、2例肠梗阻、4例出血、4例导管感染、3例液体渗漏、2例导管位置不当和1例生殖器水肿。晚期并发症有11例,其中5例急性腹膜炎、1例复发性腹膜炎、1例出血、1例导管感染、1例导管位置不当、1例液体渗漏和1例切口疝。术后无死亡病例,也没有任何并发症导致腹膜透析无法实施。对于终末期肾病患者,腹腔镜辅助下的腹膜透析导管置入术是一种安全且合适的治疗方法。