Reissman P, Lyass S, Shiloni E, Rivkind A, Berlatzky Y
Department of General Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Eur J Surg. 1998 Sep;164(9):703-7. doi: 10.1080/110241598750005606.
To find out if routine omentectomy reduced the incidence of obstruction and other complications of catheters inserted for continuous ambulatory peritoneal dialysis (CAPD).
Retrospective study.
Teaching hospital, Israel.
60 patients with end stage renal failure who needed catheters for CAPD.
Routine omentectomy during insertion of the catheter, usually under local anaesthesia.
Short and long term morbidity, and mortality.
No patient died as a result of the procedure. The catheter obstructed in only one patient (2%) during a mean follow-up period of 28 months (range 2-108), and 90% of the catheters survived one year.
Routine omentectomy during insertion of a catheter for CAPD under local anaesthesia is safe and the incidence of obstruction is low. Prospective randomised studies are needed before it can be recommended as the procedure of choice.
探讨常规大网膜切除术是否能降低持续非卧床腹膜透析（CAPD）置管后梗阻及其他并发症的发生率。
回顾性研究。
以色列的教学医院。
60例终末期肾衰竭且需要进行CAPD置管的患者。
置管时常规行大网膜切除术，通常在局部麻醉下进行。
短期和长期发病率及死亡率。
无患者因该手术死亡。在平均28个月（范围2 - 108个月）的随访期内，仅1例患者（2%）出现导管梗阻，90%的导管使用1年。
局部麻醉下CAPD置管时常规行大网膜切除术是安全的，且梗阻发生率低。在推荐其作为首选手术之前，需要进行前瞻性随机研究。
