Ratajczak Andrzej, Lange-Ratajczak Małgorzata, Bobkiewicz Adam, Studniarek Adam
Department of General, Endocrinological Surgery and Gastroenterological Oncology, Poznan University of Medical Sciences, Poznan, Poland.
Semin Dial. 2017 Jan;30(1):63-68. doi: 10.1111/sdi.12538. Epub 2016 Sep 6.
This report reviews the most common surgical interventions and complications of chronic peritoneal dialysis (PD) patients. Based on the current knowledge as well as our experience we detail the role of these surgical procedures. We supplement the reported knowledge in the field with our own experience in this area. The areas discussed include early complications such as surgical wound hemorrhage, bleeding from the catheter, intestinal perforation and urinary bladder perforation, dialysate leakage through the wound, as well as late complications including catheter kinking or occlusion, retention of fluid in the peritoneal recess, hernias and hydrothorax, and encapsulating peritoneal sclerosis. We also briefly cover the surgical aspects of exit-site infection and peritonitis. An understanding by nephrologists of the role for surgical intervention in PD patients will improve their care and outcomes.
本报告回顾了慢性腹膜透析（PD）患者最常见的外科手术干预措施及并发症。基于当前的知识以及我们的经验，我们详细阐述了这些外科手术的作用。我们用自己在该领域的经验补充了该领域已报道的知识。所讨论的领域包括早期并发症，如手术伤口出血、导管出血、肠穿孔和膀胱穿孔、透析液经伤口渗漏，以及晚期并发症，包括导管扭结或堵塞、腹膜隐窝内液体潴留、疝气和胸腔积液，还有包裹性腹膜硬化。我们还简要介绍了出口部位感染和腹膜炎的外科手术方面。肾病学家了解外科手术干预在PD患者中的作用将改善对他们的治疗及预后。
