laparoscopic 腹膜透析导管插入:一个绿洲 - - 在印度的一家三级护理中心的经验和结果
Sameer Ashok Rege1, Jayati Churiwala2, Yogesh Takalkar1
1Department of General Surgery, Seth GS Medical College & KEM Hospital, Mumbai, 400012, India.
Surgical endoscopy
|May 31, 2023
概括
腹腔镜腹腔透析 (PD) 导管插入是末期病患者的安全有效的程序. 这种最少的访问技术提供了与开放手术相当的好处,并发症率低.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 最少侵入性的手术
背景情况:
- 腹腔透析 (PD) 是一种重要的替代疗法,与血液透析相比,它为患者提供了更大的流动性和独立性.
- 存在各种内导管插入技术,包括开放式,腹腔镜和光镜引导的方法.
研究的目的:
- 描述了腹腔镜PD导管插入的技术和结果在印度的第三级护理中心.
主要方法:
- 共有48名患者接受了腹腔镜PD导管插入.
- 在37名患者中使用了双端口技术;在其他患者中使用了三端口技术来同时进行粘结溶解和/或切除.
- 一个直角导管穿过直肠肌肉,同时在两名患者身上修复了切口.
主要成果:
- 在全身麻醉下,平均手术时间为20-35分钟.
- 一名患者经历了围流泄漏,保守地管理;在三名患者中启动了紧急开始透析.
- 在6个月的随访期间,没有报告手术部位发生或腹膜炎.
结论:
- 腹腔镜PD导管插入是一种可行的,安全和有效的方法,适合广泛采用.
- 这种技术可以将PD的好处扩展到具有基本腹腔镜设备的资源有限的环境中的患者.
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