Laparoscopy: An Alternative to Surgery in Patients Treated with Continuous Ambulatory Peritoneal Dialysis
作者:
Didier Mutter,
Jean-François Marichal,
Françoise Heibel,
Jacques Marescaux,
Thierry Hannedouche,
期刊:
Nephron
(Karger Available online 1994)
卷期:
Volume 68,
issue 3
页码: 334-337
ISSN:1660-8151
年代: 1994
DOI:10.1159/000188396
出版商: S. Karger AG
关键词: Continuous ambulatory peritoneal dialysis;Abdominal surgery;Laparoscopic surgery
数据来源: Karger
摘要:
Fifteen laparoscopic abdominal operations were performed in 14 patients treated by continuous ambulatory peritoneal dialysis for chronic renal failure. Celioscopic exploration of the abdomen and subsequent operation displayed several advantages specific to the method: identification of the etiology of scrotal dialysate outflow was achieved in 4 cases, peritoneal dialysis catheter salvage during laparoscopic cholecystectomy in 1 case, abdominal exploration during occurrence of peritonitis in 3 cases, and catheter dysfunction or abdominal examination before catheter implantation in 7 cases. The laparoscopic procedure allows early resumption of peritoneal dialysis after surgery, hence avoiding the need for transient hemodialysis. Nevertheless, it seemed unable to offer a salvage capability of infected catheters through extensive abdominal washing. Laparoscopy has been reported to decrease postoperative pain and disorders of ventilation, allowing for rapid recovery of social and professional activities following this minimal invasive surgical technique. Laparoscopy is a novel technique which enables precise diagnosis and surgical operations in patients treated by continuous ambulatory peritoneal dialysis.
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