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Title: 腹膜透析カテーテル灌流障害に対しReduced port surgeryにて解除を行った1例
Other Titles: A Case of Perfusion Failure of Peritoneal Dialysis Catheter Treated by Reduced Port Surgery
Authors: 鈴木, 秀平  KAKEN_name
河原, 貴史  KAKEN_name
星, 昭夫  KAKEN_name
田中, 隆造  KAKEN_name
野中, 遥奈  KAKEN_name
柳橋, 亮太  KAKEN_name
千原, 尉智蕗  KAKEN_name
新田, 聡  KAKEN_name
古城, 公佑  KAKEN_name
池田, 篤史  KAKEN_name
木村, 友和  KAKEN_name
神鳥, 周也  KAKEN_name
根来, 宏光  KAKEN_name
小島, 崇宏  KAKEN_name
河合, 弘二  KAKEN_name
塚田, 剛  KAKEN_name
西田, 嶺美  KAKEN_name
齋藤, 知栄  KAKEN_name
西山, 博之  KAKEN_name
Author's alias: SUZUKI, Shuhei
KAWAHARA, Takashi
HOSHI, Akio
TANAKA, Takazo
NONAKA, Haruna
YANAGIHASHI, Ryota
CHIHARA, Ichiro
NITTA, Satoshi
KOJO, Kosuke
IKEDA, Atsushi
KIMURA, Tomokazu
KANDORI, Shuya
NEGORO, Hiromitsu
KOJIMA, Takahiro
KAWAI, Koji
TSUKADA, Tsuyoshi
NISHIDA, Reimi
SAITO, Chie
NISHIYAMA, Hiroyuki
Keywords: Perfusion failure of peritoneal dialysis catheter
Reduced port surgery
Re-operation
Catheter obstruction
Omentum wrapping
Issue Date: 30-Nov-2021
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 67
Issue: 11
Start page: 493
End page: 496
Abstract: A 17-year-old man received continuous ambulatory peritoneal dialysis (CAPD) catheter implantation and had started peritoneal dialysis. Perfusion failure of peritoneal dialysis catheter occurred one month after the catheter implantation. Transcatheter contrast examination revealed catheter obstruction about 4-5 cm from the catheter tip. We performed reduced port surgery to remove the obstruction. Laparoscopy revealed that the omentum was adhered to the abdominal wall and wrapped the catheter. We diagnosed the cause of catheter malfunction as omentum wrapping. We removed the omentum from the catheter, and repositioned the catheter into the Douglas fossa. Although CAPD worked successfully after the operation, perfusion failure recurred one month after the operation. The patient requested discontinuation of CAPD and change to hemodialysis. Therefore, we removed the CAPD catheter. The catheter was adhered to the omentum. Reduced port surgery for peritoneal dialysis catheter obstruction has the advantage of being minimally invasive and is a reliable procedure, but further studies are needed to reduce the recurrence rate of perfusion failure and to establish the procedure after perfusion failure.
Rights: 許諾条件により本文は2022-12-01に公開
DOI: 10.14989/ActaUrolJap_67_11_493
URI: http://hdl.handle.net/2433/266469
PubMed ID: 34856788
Appears in Collections:Vol.67 No.11

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