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Video-assisted thoracoscopic treatment for pleuroperitoneal communication in peritoneal dialysis : Report of three cases Ryo MORISUE 1 , Masafumi KATAOKA 1 , Mototaka INABA 1 , Shuichi SAKAMOTO 1 , Teruki KOBAYASHI 1 , Motohiko YAMADA 1 1Department of Surgery, Okayama Saiseikai General Hospital Keyword: 横隔膜交通症 , 胸腔鏡手術 , 腹膜透析 pp.417-423
Published Date 2015/7/15
DOI https://doi.org/10.11477/mf.4426200154
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Pleuroperitoneal communication(PPC) is a complication of continuous ambulatory peritoneal dialysis(CAPD) that can necessitate cessation of CAPD. We report three patients with chronic renal failure on continuous abdominal peritoneal dialysis, who underwent video-assisted thoracoscopic surgery for PPC. During surgery, defects of the diaphragm was confirmed and sutured, covering the central tendon with absorbable polyglycolic acid(PGA) sheets and fibrin glue. There was no recurrence of the right hydrothorax after resumption of CAPD in all patients. This procedure is feasible for treating patient with PPC. By confirming the condition of the fistulae or vesiculae, direct suturing or resection using endoscopic stapler, and covering the defect with PGA sheets and fibrin glue become possible through video-assisted thoracic surgery.


Copyright © 2015, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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