Experience of Catheter Implantation for Continuous Ambulatory Peritoneal Dialysis and Catheter Related Complications.
- Author:
Jung Myun KWAK
1
;
Suk In JUNG
;
Youn Ki MIN
;
Seok Hyung KANG
;
Yong Geul JOH
;
Min Young CHO
;
Tae Jin SONG
;
Jae Bok LEE
;
Jeoung Won BAE
;
Sung Ok SUH
;
Young Chul KIM
;
Cheung Wung WHANG
;
Won Yong CHO
;
Hyung Kyu KIM
Author Information
1. Department of Surgery, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Continuous ambulatory peritoneal dialysis;
End stage renal disease;
Catheter related complication
- MeSH:
Catheters*;
Humans;
Immobilization;
Incidence;
Kidney Failure, Chronic;
Medical Records;
Peritoneal Dialysis, Continuous Ambulatory*;
Peritonitis;
Renal Replacement Therapy;
Retrospective Studies;
Skin;
Survival Rate;
Virtues
- From:Journal of the Korean Surgical Society
2002;62(2):133-138
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: By virtue of advances in scientific methods and technical systems, there has been a rapid growth in the number of end stage renal disease (ESRD) patients treated using continuous ambulatory peritoneal dialysis (CAPD) as their primary renal replacement therapy. However, there are various catheter related complications that are limiting factors in patient and catheter maintenance. This study was aimed at introducing of the techniques of CAPD catheter implantation designed for reducing the complication rate, as well as conducting an investigation of the incidence of CAPD catheter related complications and patient survival and catheter survival rates. METHODS: We performed 234 cases of CAPD catheter implantation using a conventional surgical method (n=162, between January 1993 and December 1997) or a modified surgical method (n=72, between January 1998 and December 1999), and retrospectively reviewed the patient's medical records to elucidate the incidence of early catheter related complications and the catheter removal rate in relation to the surgical methods. RESULTS: There were 21 cases (23.8%) of peritonitis in the modified group, which was less than that in the conventional group (79 cases, 48.8%) (P=0.036). There were 9 cases (12.5%) of exit site and tunnel infection in the modified group, which was less than that in the conventional group (36 cases, 22.2%) (P=0.019). We were able to reduce the peritonitis as well as exit site and tunnel infection by a long segment of tunneling and immobilization of the catheter to the skin. Nine cases of leakage (5.5%) have occurred in the conventional group and one case (1.3%) in the modified group; the difference was statistically significant (P=0.046). CONCLUSION: These results indicate that our modified surgical methods can reduce the rate of early catheter related complications.
