Simple surgical treatment for pleuroperitoneal communication without interruption of continuous ambulatory peritoneal dialysis

被引：15
作者：
Kumagai H. [1 ,3 ]
Watari M. [1 ]
Kuratsune M. [2 ]
机构：
[1] Department of Thoracic Surgery, Hiroshima General Hospital, Hiroshima
[2] Department of Internal Medicine, Hiroshima General Hospital, Hiroshima
[3] Hatsukaichi, Hiroshima 738-8503
来源：
General Thoracic and Cardiovascular Surgery | 2007年 / 55卷 / 12期
关键词：
Continuous ambulatory peritoneal dialysis; Hydrothorax; Pleuroperitoneal communication; Thoracoscopic surgery;
D O I：
10.1007/s11748-007-0178-7
中图分类号：
学科分类号：
摘要：
Pleuroperitoneal communication is a complication of continuous ambulatory peritoneal dialysis (CAPD) that can necessitate cessation of CAPD. Hemodialysis was started on a 52-year-old woman and shifted to CAPD 1 month later. However, 18 days after initiation of CAPD, her chest radiograph showed a right-side hydrothorax. Thoracentesis yielded a colorless pleural effusion with markedly higher glucose levels than in her serum, indicating the presence of pleuroperitoneal communication. Three days later, thoracoscopic surgery was performed. A colored dialysis solution preoperatively injected into the abdominal cavity identified intraoperatively leakage from the diaphragm. The leakage points were closed by a no-knife-type automatic stapler with absorbable polyglycolic acid felt and fibrin glue. CAPD was restarted on the operative day, and there was no recurrence of the right hydrothorax. We conclude that this simple method can be used effectively to treat pleuroperitoneal communication. © 2007 The Japanese Association for Thoracic Surgery.
引用
收藏
页码：508 / 511
页数：3
相关论文
共 9 条
  • [1] Nomoto Y., Suga T., Nakajima K., Sakai H., Osawa G., Ota K., Acute hydrothorax in continuous ambulatory peritoneal dialysis: A collaborative study of 161 centers, Am J Nephrol, 9, pp. 363-7, (1989)
  • [2] Chow C.C., Sung J.Y., Cheung C.K., Hamilton-Wood C., Lai K.N., Massive hydrothorax in continuous ambulatory peritoneal dialysis: Diagnosis, management and review of the literature, N Z Med J, 27, pp. 475-7, (1988)
  • [3] Leveen H.H., Piccone V.A., Hutto R.B., Management of ascites with hydrothorax, Ann J Surg, 148, pp. 210-3, (1984)
  • [4] Pattison C.W., Rodger R.S., Adu D., Michael J., Matthews H.R., Surgical treatment of hydrothorax complicating continuous ambulatory peritoneal dialysis, Clin Nephrol, 21, pp. 191-3, (1984)
  • [5] Burkart J.M., Nolph K.D., Brenner B.M., Peritoneal dialysis, The Kidney, pp. 2507-75, (1996)
  • [6] Meyers M.A., The spread and localization of acute intraperitoneal effusions, Radiology, 95, pp. 547-54, (1970)
  • [7] Tang S., Chui W.H., Tang A.W.C., Li F.K., Chau W.S., Ho Y.W., Et al., Video-assisted thoracoscopic talc pleurodesis is effective for maintenance of peritoneal dialysis in acute hydrothorax complicating peritoneal dialysis, Nephrol Dial Transplant, 18, pp. 804-8, (2003)
  • [8] Yen H.T., Lu H.Y., Liu H.P., Hsieh M.J., Video-assisted thoracoscopic surgery for hydrothorax in peritoneal dialysis patients: Check-air-leakage method, Eur J Cardiothorac Surg, 28, pp. 648-9, (2005)
  • [9] Yonechi A., Higuchi M., Shio Y., Suzuki H., Fujiu K., Kanno R., Et al., Video-assisted thoracoscopic treatment for a patient with pleuroperitoneal communication complicating CAPD, Jpn J Chest Surg, 16, pp. 99-104, (2002)
1