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预防性腹腔镜网膜固定术:腹膜透析导管置管的新技术。

Prophylactic laparoscopic omentopexy: a new technique for peritoneal dialysis catheter placement.

机构信息

a Department of Nephrology , The First Affiliated Hospital of KangDa College of Nanjing Medical University, The First People's Hospital of Lianyungang , Lianyungang , China.

b Department of Urology , The First Affiliated Hospital of KangDa College of Nanjing Medical University, The First People's Hospital of Lianyungang , Lianyungang , China.

出版信息

Ren Fail. 2019 Nov;41(1):113-117. doi: 10.1080/0886022X.2019.1583580.

Abstract

BACKGROUND

Prophylactic laparoscopic omentopexy is a safe technique to prevent catheter obstruction during peritoneal dialysis (PD). Here we described a technique through which the omentopexy was accomplished by Hem-o-loks before PD catheter insertion.

METHODS

The procedures of omentopexy were described. To evaluate the efficiency of this surgical method, a retrospective review of PD catheter insertion cases and their follow-ups were performed, covering 10 consecutive patients with end-stage renal disease.

RESULTS

All patients showed no intraoperative events. No catheter flow obstruction, migration, exit-site infection appeared during the follow-up.

CONCLUSION

Laparoscopic PD catheter insertion using omentopexy can decrease catheter obstruction and migration.

摘要

背景

预防性腹腔镜网膜固定术是一种安全的技术,可防止腹膜透析(PD)期间导管阻塞。在这里,我们描述了一种在 PD 导管插入前通过 Hem-o-loks 完成网膜固定术的技术。

方法

描述了网膜固定术的步骤。为了评估这种手术方法的效果,对 10 例终末期肾病患者的 PD 导管插入术病例及其随访进行了回顾性分析。

结果

所有患者均无术中事件。在随访期间,没有出现导管堵塞、移位、出口部位感染。

结论

腹腔镜 PD 导管插入术联合网膜固定术可减少导管阻塞和移位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4967/6442096/3e1fcd225f80/IRNF_A_1583580_F0001_B.jpg

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