Pampa-Saico Saúl, Caravaca-Fontán Fernando, Burguera-Vion Víctor, Nicolás Víctor Diéz, Yerovi-León Estefanía, Jimenez-Álvaro Sara, Fernández-Rodríguez Ana, Marcén Roberto, Rivera-Gorrín Maite
Department of Nephrology, Hospital Universitario Ramón y Cajal (HURyC), Madrid, Spain
Instituto Ramón y Cajal de Investigación Sanitaria (IRyCis), RedinRenISCIII (ERC 10 RD12/0021/0020), Madrid, Spain.
Perit Dial Int. 2017 Nov-Dec;37(6):651-654. doi: 10.3747/pdi.2017.00031.
No clear consensus has been reached regarding the optimal time to remove the peritoneal dialysis catheter (PDC) after kidney transplantation (KT). This retrospective observational study, conducted in a single peritoneal dialysis (PD) unit including all PD patients who received a KT between 1995 - 2015, was undertaken to evaluate the clinical outcomes and potential complications associated with a PDC left in place after KT. Of the 132 PD patients who received a KT, 20 were excluded from the study. Of the remaining, 112 (85%) patients with functioning KT were discharged with their PDC left in place and had it removed in a mean interval of 5 ± 3 months after KT, after achieving optimal graft function. During this follow-up period, 7 patients (6%) developed exit-site infection and there were 2 cases (2%) of peritonitis; all of them were successfully treated. Delayed PDC removal after KT is associated with low complication rates, although regular examination is needed so that mild infections can be detected early and therapy promptly instituted.
关于肾移植（KT）后腹膜透析导管（PDC）的最佳拔除时间，目前尚未达成明确共识。本回顾性观察研究在一个腹膜透析（PD）单元进行，纳入了1995年至2015年间接受KT的所有PD患者，旨在评估KT后保留PDC的临床结局及潜在并发症。在132例接受KT的PD患者中，20例被排除在研究之外。其余患者中，112例（85%）KT功能良好的患者出院时保留了PDC，并在KT后平均5±3个月、移植肾功能达到最佳时拔除。在此随访期间，7例患者（6%）发生出口处感染，2例患者（2%）发生腹膜炎；所有患者均成功治愈。KT后延迟拔除PDC的并发症发生率较低，不过仍需定期检查，以便早期发现轻度感染并及时进行治疗。
