KẾT QUẢ PHẪU THUẬT ĐẶT CATHETER LỌC MÀNG BỤNG TẠI BỆNH VIỆN BẠCH MAI GIAI ĐOẠN 2014-2016

Tóm tắt

Purpose: To evaluate laparoscopic and open surgical procedures for the insertion of peritoneal dialysis catheters in patients with end-stage renal disease. Material and methods: A retrospective study on the patients of end-stage renal disease undergoing  catheterization at Bach Mai hospital from June 2014 to May 2016. Patients were divided into two groups: the open technique (OT) group and the laparoscopic preperitoneal tunneling approach (LA) group. Results: Seventy-two patients were enrolled in the study. Peritoneal dialysis catheters were placed into 41 patients via the LA and 31 via the OT. Twelve patients (16.7%) had previous abdominal surgery. Major omentectomy was performed in seven patients (9.7%). One hundred percent of patients in the LA group had the great omentum fixed. The mean operational time in the LA and OT groups was 52.2 minutes (range, 15-105) and 35.08 minutes (range, 20-62), respectively. Blood biochemical and hematological parameters were significantly different after 3 months in both groups compared to before surgery. Although the LA group showed fewer short-term complications than the OT group (14.6% vs 48.4%), the two groups had similar long-term complications. After one and two years, the overall outcomes of the LA group outperformed those of the OT group. Conclusion: Catheterization for continuous ambulatory peritoneal dialysis is a viable, safe, and successful approach. The laparoscopic approach to preperitoneal tunneling is better than the open procedure in terms of the overall outcome.