相关实验视频

Updated: May 4, 2026

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

腹腔镜和开放腹膜透析导管插入的趋势和外科结果

Ankur D Shah, Susie L Hu, Anvitha Rangan

Clinical nephrology

|March 4, 2025

概括

laparoscopic 腹腔透析 (PD) 导管插入越来越常见,并显示出与开放手术相似的早期结果. 这一趋势表明,人们正在转向创建PD访问的最小侵入性技术.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
最少侵入性的手术
手术结果研究研究.

背景情况:

腹腔透析 (PD) 导管插入可以通过开放或腹腔镜技术进行.
指南建议适合患者进行晚期腹腔镜插入.
关于手术结果的有限文献存在,比较PD导管插入方法.

研究的目的:

为了比较开放式和腹腔镜 PD 导管插入之间的手术结果.
分析随着时间的推移,PD导管插入技术的趋势.
确定与选择手术方法相关的因素.

主要方法:

在2013-2018年使用国家外科质量改善计划数据库对11,731例PD导管插入进行分析.
包括手术前的特征,手术细节和30天的术后结果.
后勤回归用于评估手术方法与死亡率,并发症和停留时间等结果之间的关联.

主要成果:

在2013年至2018年期间,腹腔镜PD导管插入量从76.1%上升到87%.
开放式插入在老年患者中更常见,并发病率更高.
调整后的分析显示,开放式和腹腔镜方法之间的30天死亡率和并发症率相似,尽管开放式手术的停留时间更长.

结论:

laparoscopic PD 导管插入已经成为主要的方法.
开放式和腹腔镜技术都显示出可比的早期发病率和死亡率.
现实世界的数据支持越来越多地采用腹腔镜PD导管插入来创建访问.

更多相关视频

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

相关概念视频

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...

Peritoneal Dialysis III: Nursing Management

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...