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논문분류	춘계학술대회 초록집
제목	Open surgical continuous ambulatory peritoneal dialysis catheter implantation operation; Interventional nephrologist vs surgeon: A comparative, single center study
저자	Jin ho LEE, Hee yeoun KIM, Dong yeol LEE, Joon seok OH, Seong min KIM, Yong ki PARK, Yong hun SIN, *Joong kyung KIM
출판정보	2017; 2017(1):
키워드	CAPD, Catheter implantation operataion, interventional nephrologist
초록	Objectives : Continuous ambulatory peritoneal dialysis(CAPD) is the one of the treatment option for end stage renal disease(ESRD) patient. There are several method for insertion of PD catheter. Open surgical insertrion is commonly used method. In the past, surgeon have performed the insertion of PD catheter, but now interventional nephrologist(IN) undergoes catheter implantation operation, also Methods : We studied 44 patients in whom CAPD was started at our center, retrospectively. From October 2014 to November 2015, 21 of the 44 catheters were inserted successfully by IN and 23 of the 44 catheters by surgeon. We used Coiled Tenckhoff Ⓡ 2 cuff peritoneal catheter (Covidien, USA). Surgical incision was performed using the left lateral approach with local anesthesia Results : Mean age is 58 ± 7.5 years old in IN group, 62 ± 8.3 years old in GS group. Male : Female number is 13:8 in IN, 12:11 in GS. Follow up period is 180 ± 34.4 days in IN group, 210 ± 42.2 days in GS group. Break in period is similar in both group( 7 .1± 0.5 vs 7.2 ± 0.6). There is no mechanical surgical complication in both group, such as leakage, bowel injury. But, 1 case of PD catheter migration shows in both group, that result in reposition operation by laparoscopy under general anesthesia. Conclusions : Interventional nephrologist is not only able to manage the PD patients but also undergoes PD catheter implantation operation successfully, even compared with the surgeon.
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