演題情報

学会・委員会企画

開催回
第59回・2014年・神戸
 

Routine Omentectomy Through PD-Catheter Insertion Incision

演題番号 : GI-10-2-4

Pham Va Bui:1

1:University of Medicine Pham Ngoc Thach, Viet Nam

 

Objectives: In peritoneal dialysis(PD), one of the most common catheter - related complications is obstruction and/or migration. Our objectives is to evaluate the feasibility and advantages of routine omentectomy and the omentectomy-related complications
Patients and Methods: Our study was prospective and single-center one. From 2001-Sep/2006, 173 patients on continuous ambulatory peritoneal dialysis(CAPD) at the Center of Nephrology-Urology-Transplantation, Popular 115 University Hospital were included in the study. All patients underwent catheter insertion(coiled Tenckhoff) associated with routine omentectomy through a unique, short skin incision(# 3 cm). Patient and omentum weights, technical difficulties, operation time, catheter survival, were noted for evaluation.
Results: Of 173 patients, 04 were switched to hemodialysis because of refractory peritonitis. The mean age was 52.77 year old with 75 male and 98 female; the mean body weight, 50.77kg(46-80kg); the mean removed omentum weight, 325.12g(223-715g). The operations were uneventful and smoothly with mean operation time of 68 minutes ± 18... There was no any case of omentectomy-related complication nor catheter obstruction; though. there were three catheter migrated, they were always in good function with good ultrafiltration, without the need of reposition. The most common complication was peritonitis with the frequency of 1 episode/patient/60.67 months. At the time of writing this article, 28.4% of cases have been on CAPD less than 6 months; 20.3%, from 6 months to 1 year and 51.4%, more than 1 year.

Conclusions: This study demonstrated that catheter insertion associated with routine omentectomy through a unique, short skin incision was safe and feasible without any technical difficulty. This technique might help to prevent catheter obstruction due to omentum wrapping.

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