Technical survival of laparoscopic vs.conventional placement of peritoneal catheters in patients with endstage renal disease
Objective To compare the technical survival between laparoscopic and laparotomy placement of peritoneal dialysis(PD) catheters in patients with end-stage renal disease.Methods 104 patients who received catheter implantation and continuous ambulatory peritoneal dialysis therapy from January 2012 to J...
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Editorial Department of Journal of Clinical Nephrology
2015-01-01
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| Series: | Linchuang shenzangbing zazhi |
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| author | LI Miao WU Ge LIU Zhang-suo |
| author_facet | LI Miao WU Ge LIU Zhang-suo |
| author_sort | LI Miao |
| collection | DOAJ |
| description | Objective To compare the technical survival between laparoscopic and laparotomy placement of peritoneal dialysis(PD) catheters in patients with end-stage renal disease.Methods 104 patients who received catheter implantation and continuous ambulatory peritoneal dialysis therapy from January 2012 to January 2014 were selected as candidates,and into group A(laparoscopic placement of PD catheter,n = 46) and group B(laparotomy placement of PD catheter,n = 58).The clinical data such as the general conditions before operation,mean follow-up duration,surgical complications(including wound infection,surgical bleeding,abdominal bleeding,peritoneal adhesion,etc.),and PDrelated complications(including peritonitis,catheter exit and tunnel infections,catheter displacement,poor drainage,drift tube,hernia,blocked tubes) were recorded.Before and one month after operation,ALT,AST,Alb,BUN,SCr,urine volume,withdrawal,and deaths were also recorded.Results The incidence of wound infection,surgical bleeding,abdominal bleeding,peritoneal adhesion and other complications in group A was significantly lower than in group B(P<0.05).Peritonitis occurred in 4 cases of group A(8.5%) and 7 cases in group B(10.3%) respectively.There was no significant difference in the tunnel infections between group A(one case) and group B(one case).At 3rd month after operation,there was no early PD-related infections in group A,there was one case of peritonitis and one case of tunnel infection in group B;There was no mechanical complication in group A,and mechanical complication occurred in 5 cases(8.62%) in group B,including catheter migration(2cases,2.45%) and hernia(3 cases,5.17%),with a statistically significant difference(P<0.05).At first month after operation,there was no significant difference in ALT,AST,SCr,Alb and BUN between two groups.In group B,the urine volume before operation was(1.87 ± 0.38) L,and that was(1.76 ±0.54) L one month after operation(P<0.05).Conclusions Laparoscopic technique can reduce the incidence of surgical complications and PD-related complications as compared with conventional open surgery. |
| format | Article |
| id | doaj-art-6706b4a2bb4844b3b3cd0c34066614b8 |
| institution | OA Journals |
| issn | 1671-2390 |
| language | zho |
| publishDate | 2015-01-01 |
| publisher | Editorial Department of Journal of Clinical Nephrology |
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| series | Linchuang shenzangbing zazhi |
| spelling | doaj-art-6706b4a2bb4844b3b3cd0c34066614b82025-08-20T02:16:14ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902015-01-0140140557920021Technical survival of laparoscopic vs.conventional placement of peritoneal catheters in patients with endstage renal diseaseLI MiaoWU GeLIU Zhang-suoObjective To compare the technical survival between laparoscopic and laparotomy placement of peritoneal dialysis(PD) catheters in patients with end-stage renal disease.Methods 104 patients who received catheter implantation and continuous ambulatory peritoneal dialysis therapy from January 2012 to January 2014 were selected as candidates,and into group A(laparoscopic placement of PD catheter,n = 46) and group B(laparotomy placement of PD catheter,n = 58).The clinical data such as the general conditions before operation,mean follow-up duration,surgical complications(including wound infection,surgical bleeding,abdominal bleeding,peritoneal adhesion,etc.),and PDrelated complications(including peritonitis,catheter exit and tunnel infections,catheter displacement,poor drainage,drift tube,hernia,blocked tubes) were recorded.Before and one month after operation,ALT,AST,Alb,BUN,SCr,urine volume,withdrawal,and deaths were also recorded.Results The incidence of wound infection,surgical bleeding,abdominal bleeding,peritoneal adhesion and other complications in group A was significantly lower than in group B(P<0.05).Peritonitis occurred in 4 cases of group A(8.5%) and 7 cases in group B(10.3%) respectively.There was no significant difference in the tunnel infections between group A(one case) and group B(one case).At 3rd month after operation,there was no early PD-related infections in group A,there was one case of peritonitis and one case of tunnel infection in group B;There was no mechanical complication in group A,and mechanical complication occurred in 5 cases(8.62%) in group B,including catheter migration(2cases,2.45%) and hernia(3 cases,5.17%),with a statistically significant difference(P<0.05).At first month after operation,there was no significant difference in ALT,AST,SCr,Alb and BUN between two groups.In group B,the urine volume before operation was(1.87 ± 0.38) L,and that was(1.76 ±0.54) L one month after operation(P<0.05).Conclusions Laparoscopic technique can reduce the incidence of surgical complications and PD-related complications as compared with conventional open surgery.http://www.lcszb.com/thesisDetails?columnId=57920021&Fpath=home&index=0Peritoneal dialysisLaparoscopyConventional placementSurgical complationsPeritoneal dialysis-related complications |
| spellingShingle | LI Miao WU Ge LIU Zhang-suo Technical survival of laparoscopic vs.conventional placement of peritoneal catheters in patients with endstage renal disease Linchuang shenzangbing zazhi Peritoneal dialysis Laparoscopy Conventional placement Surgical complations Peritoneal dialysis-related complications |
| title | Technical survival of laparoscopic vs.conventional placement of peritoneal catheters in patients with endstage renal disease |
| title_full | Technical survival of laparoscopic vs.conventional placement of peritoneal catheters in patients with endstage renal disease |
| title_fullStr | Technical survival of laparoscopic vs.conventional placement of peritoneal catheters in patients with endstage renal disease |
| title_full_unstemmed | Technical survival of laparoscopic vs.conventional placement of peritoneal catheters in patients with endstage renal disease |
| title_short | Technical survival of laparoscopic vs.conventional placement of peritoneal catheters in patients with endstage renal disease |
| title_sort | technical survival of laparoscopic vs conventional placement of peritoneal catheters in patients with endstage renal disease |
| topic | Peritoneal dialysis Laparoscopy Conventional placement Surgical complations Peritoneal dialysis-related complications |
| url | http://www.lcszb.com/thesisDetails?columnId=57920021&Fpath=home&index=0 |
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