Laparoscopic cholecystectomy in a high-risk diabetic CAPD patient.
An obese 48-year-old diabetic woman with end-stage renal disease (ESRD) on continuous ambulatory peritoneal dialysis (CAPD) developed symptomatic cholelithiasis within 2 weeks of initiating CAPD. She was not a good risk for either open cholecystectomy or postoperative hemodialysis, and the relatively noninvasive surgical approach of laparoscopic cholecystectomy was considered to minimize postoperative morbidity and to allow the patient to resume her CAPD treatments after a short postoperative recess from dialysis altogether. The patient tolerated the procedure well with no complications. She resumed routine CAPD on her third postoperative day.
Mars
D R
DR
University of Florida College of Medicine, Division of Nephrology, Hypertension and Transplantation, Gainesville.
St John
M
M
Brunson
M E
ME
D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D048909:Diabetes Complications; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003928:Diabetic Nephropathies / Q000150:complications; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D009765:Obesity; D010531:Peritoneal Dialysis, Continuous Ambulatory; D012307:Risk Factors