Owens L V, Brader A H
Department of Surgery, University of North Carolina at Chapel Hill School of Medicine 27599, USA.
Surg Endosc. 1995 May;9(5):517-8. doi: 10.1007/BF00206840.
Laparoscopic abdominal surgery has opened many previously unexploited diagnostic and therapeutic options. At our institution, we have used laparoscopic techniques in several patients to successfully salvage dysfunctional Tenckhoff catheters. Peritoneal dialysis has gained widespread approval as an acceptable alternative to hemodialysis. Unfortunately, following surgical placement of the catheter, mechanical complications are all too common and usually result in unnecessary removal or replacement. To illustrate the usefulness of laparoscopy in preventing this unnecessary patient morbidity, we present a case study of an easily correctable cause of Tenckhoff catheter outflow obstruction that would have avoided detection under normal circumstances.
腹腔镜腹部手术开启了许多以前未被开发的诊断和治疗选择。在我们机构，我们已对多名患者使用腹腔镜技术成功挽救功能失调的Tenckhoff导管。腹膜透析作为血液透析的一种可接受替代方法已获得广泛认可。不幸的是，在导管手术置入后，机械并发症非常常见，通常会导致不必要的拔除或更换。为说明腹腔镜检查在预防这种不必要的患者发病方面的有用性，我们呈现了一个Tenckhoff导管流出道梗阻的易于纠正原因的病例研究，该原因在正常情况下可能无法被发现。
