Peritoneopleural Leakage in Continuous Ambulatory Peritoneal Dialysis : Successful Treatment with Video-Assisted Thoracoscopic Talc Pleurodesis.
- Author:
ung Ah KIM
1
;
Dae Joong KIM
;
Ho Myoung YEO
;
Young Hwan LIM
;
Beom KIM
;
Woo Heon KANG
;
Su Jin YOON
;
Hyun Hee LEE
;
Young Ki LEE
;
Ha Young OH
Author Information
1. Department of Internal Medicine, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea. kimdjmed@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Hydrothorax;
CAPD;
Thoracoscopy;
Pleurodesis;
Leakage
- MeSH:
Fibrin;
Humans;
Hydrothorax;
Peritoneal Dialysis, Continuous Ambulatory*;
Pleura;
Pleurodesis*;
Recurrence;
Renal Dialysis;
Renal Replacement Therapy;
Talc*;
Tetracycline;
Thoracic Surgery, Video-Assisted;
Thoracoscopy;
Thoracotomy
- From:Korean Journal of Nephrology
2002;21(5):855-860
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Continuous ambulatory peritoneal dialysis (CAPD) is an effective renal replacement therapy for end- stage renal disease. Hydrothorax secondary to leakage of dialysate via pleuroperitoneal communication is a rare complication of CAPD. Earlier treatments of CAPD-induced hydrothorax have included pleurodesis with tetracycline, talc, fibrin, or autologous blood and surgical treatment. These procedure have made many patients switch to hemodialysis, because of the high relapse rate of the former and the invasiveness and morbidity of the latter. The talc pleurodesis with video-assisted thoracic surgery (VATS) allows not only direct visualization of potential diaphragmatic defect but also direct application of the talc to the visceral or parietal pleura. This procedure is less invasive than thoracotomy and can perform more accurate poudrage of talc than conventional methods. We have recently managed a patient CAPD-induced massive hydrothorax using thoracoscopic talc pleurodesis. This patient was successfully returned to CAPD.
