| Author/Editor | Čala, Zoran; Janković, Nikola; Varlaj-Knobloch, Vesna; Čala, Svjetlana; Perko, Zdravko; Velnić, Davorin; Raguža, Krešimir | |
| Title | Videoendoskopsko nameščanje katetra za peritonealno dializo | |
| Translated title | Videoendoscopic placement of peritoneal dialysis catheters | |
| Type | članek | |
| Source | Endoskopska revija | |
| Vol. and No. | Letnik 4, št. 9 | |
| Publication year | 1999 | |
| Volume | str. 107-15 | |
| Language | slo | |
| Abstract | From December 1993 until November 1998, a total of 42 patients underwent videoendoscopic placement of periotoneal dialysis catheters (45 procedures) at the Sveti Duh General Hospital, Zagreb. A specially designed trocar was used. All the procedures were performed under general anaesthesia in a fully equipped operating theatre. There were no intra- or postoperative complications. The procedure proved to entail all the advantages of endoscopic minimally invasive surgery. The patients made a quick recovery with ow consumption of analgesics, they were soon out of bed and capable of oral feeding. No wound complications were encountered. Dialysis could be instituted 2-3 days after the procedure. Analysis of the results showed that compared to other methods, this approach did not carry a higher rate of dialysis solution leakage, catheter drainage problems, or tunnel, exit site or peritoenal infections. Other surgical procedures could be performed concomitantly with catheter placement, without fear of increasing the complication rate. Laparoscopic cholecystectomy was done in 5 cases, right adnexectomy in one case, and adhesiolysis in 9 cases. The videoendoscopic approach for catheter placement is a simple and short procedure, which is convenient for the patient and is followed by rapid recovery. The complication rate is no higher than after conventional procedures. | |
| Summary | Od decembra 1993 do novembra 1998 leta smo na Klinika za kirurgijo OB Sveti Duh v Zagrebu 45-krat namestili kateter za peritonealno dializo pri 42 bolnikih. Uporabljali smo videoendoskopski postopek nameščanja katetra ter za ta postopek posebno izdelan troakar. Operativni postopki, ki so bili opravljeni v splošni anesteziji v operacijski dvorani, so potekali brez zapletov. Medoperativnih in pooperativnih zapletov ni bilo. Rezultati so pokazali, da ima opisani postopek vse prednosti endoskopske, tj. minimalno invazivne kirurgije. Bolniki so hitro okrevali ob neznatni uporabi analgetikov, kmalu vstajali iz postelje in se začeli sami prehranjevati. Zapletov v zvezi z ranami ni bilo. S peritonealno dializo smo pričeli že 2-3 dni po operativnem posegu. Primerjava naših rezultatov nameščanja katetra z drugimi načini je pokazala, da po naši metodi niso bili pogostnejši zatekanje tekočine za dializo, motnje prehodnosti katetra, okužbe ran, kanala in peritonitis v primerjavi z drugimi metodami nameščanja katetra. Med nameščanjem katetra se lahko izvedejo tudi nekateri drugi operacijski postopki, ne da bi vplivali na pogostnost zapletov. Tako je bila pri petih bolnikih narejena holecistektomija, pri eni bolnici adneksektomija in pri devetih bolnikih adhezioliza. Videoendoskopski način nameščanja katetra je enostaven in kratkotrajen, za bolnika zelo udoben postopek s hitro rekonvalescenco brez pogostnejših zapletov. | |
| Descriptors | PERITONEAL DIALYSIS SURGERY, ENDOSCOPIC LAPAROSCOPY EQUIPMENT AND SUPPLIES, HOSPITAL CROATIA KIDNEY FAILURE, CHRONIC |