Janez Jurij
Department of Abdominal Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia, Europe.
J Minim Access Surg. 2019 Jan-Mar;15(1):80-83. doi: 10.4103/jmas.JMAS_196_17.
Peritoneal dialysis (PD) is a generally accepted method for treatment of patients with the end-stage renal disease. A larger proportion of PD patients transfer to haemodialysis every year than the converse. Many of the underlying causes of transfer to haemodialysis are preventable. Infectious complications still remain the most common reason for transfer of PD patients to haemodialysis, catheter-related problems are the second most common cause. For PD to be effective it is very important to provide a quality peritoneal access with the insertion of PD catheter with minimum complications. With the development of minimally invasive and laparoscopic surgery, laparoscopic insertion of PD catheter is becoming widely accepted method, which showed to be effective with minor complications. In our institution, laparoscopic insertion of PD catheter in adult patients is a standard method for providing peritoneal access for chronic peritoneal dialysis.
腹膜透析（PD）是治疗终末期肾病患者普遍认可的方法。每年从腹膜透析转为血液透析的患者比例高于相反情况。转为血液透析的许多潜在原因是可以预防的。感染性并发症仍然是腹膜透析患者转为血液透析的最常见原因，导管相关问题是第二常见原因。为使腹膜透析有效，通过插入腹膜透析导管建立高质量的腹膜通路并尽量减少并发症非常重要。随着微创和腹腔镜手术的发展，腹腔镜插入腹膜透析导管正成为被广泛接受的方法，该方法显示有效且并发症较少。在我们机构，成年患者腹腔镜插入腹膜透析导管是为慢性腹膜透析提供腹膜通路的标准方法。
