지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.6
- 발행연도
- 2012.12
- 수록면
- 381 - 387 (7page)
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초록· 키워드
오류제보하기
Purpose: One of the major drawbacks of peritoneal dialysis (PD) is catheter migration and dysfunction. Preventing catheter migration is one of the main concerns. We compared laparoscopic internal fixation method with open surgical method for catheter migration rates. Methods: From January 2008 to August 2009, PD catheters were inserted by laparoscopic fixation (LF) method in 22 patients and by open surgery (OS) in 32 patients. Clinical data were reviewed retrospectively. The frequency of migration, peritonitis, and other complications were compared. Catheter and patient survival rates were also compared. Results: The mean age and sex ratio were not different between groups. Mean follow-up duration was 29.1 months in LF group and 26.1 months in OS group. More patients in LF group (27.3%) had history of laparotomy than in OS group (3.1%) (P = 0.01). The mean operation time was significantly longer in LF group (101.6 ± 30.4 minutes) than in OS group (72.4 ± 26.03 minutes) (P = 0.00). The cumulative incidence of catheter migration was 65.6% in OS group and 13.6% in LF group (P = 0.00). Migration-free catheter survival was higher in LF group (P = 0.001). There were no differences in complication rates between groups. Overall catheter survival was similar (P = 0.93). Patient survival rate at 2 years was not different (P= 0.13). Conclusion: Laparoscopic internal fixation of continuous ambulatory peritoneal dialysis catheter significantly reduces migration rates without any addition of complications. Also, laparoscopic technique did not incur patient morbidity or mortality despite the requirement for general endotracheal anesthesia and longer operation time. Therefore, internal fixation can be afforded safely in patients with previous abdominal surgery as either a salvage or preventive measure in patients with repeated catheter migration.
목차
Abstract
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (27)
참고문헌 신청
1. [학술지(정기간행물)] - Bailie GR / 1992 / Continuous ambulatory peritoneal dialysis: a review of its mechanics, advantages, complications, and areas of controversy / Ann Pharmacother 26 : 1409 ~ 1420
2. [학술지(정기간행물)] - Steinberg SM / 1984 / A comprehensive report on the experience of patients on continuous ambulatory peritoneal dialysis for the treatment of end-stage renal disease / Am J Kidney Dis 4 : 233 ~ 241
3. [학술지(정기간행물)] - Kimmelstiel FM / 1993 / Laparoscopic management of peritoneal dialysis catheters / Surg Gynecol Obstet 176 : 565 ~ 570
4. [학술지(정기간행물)] - Kittur DS / 1991 / Laparoscopic repositioning of malfunctioning peritoneal dialysis catheters / Surg Laparosc Endosc 1 : 179 ~ 182
5. [학술지(정기간행물)] - Soontrapornchai P / 2005 / Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters / Surg Endosc 19 : 137 ~ 139
2. [학술지(정기간행물)] - Steinberg SM / 1984 / A comprehensive report on the experience of patients on continuous ambulatory peritoneal dialysis for the treatment of end-stage renal disease / Am J Kidney Dis 4 : 233 ~ 241
3. [학술지(정기간행물)] - Kimmelstiel FM / 1993 / Laparoscopic management of peritoneal dialysis catheters / Surg Gynecol Obstet 176 : 565 ~ 570
4. [학술지(정기간행물)] - Kittur DS / 1991 / Laparoscopic repositioning of malfunctioning peritoneal dialysis catheters / Surg Laparosc Endosc 1 : 179 ~ 182
5. [학술지(정기간행물)] - Soontrapornchai P / 2005 / Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters / Surg Endosc 19 : 137 ~ 139
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UCI(KEPA) : I410-ECN-0101-2014-514-000804271