[Laparoscopic staged lavage in CAPD catheter peritonitis--an alternative to open treatment?].
Three patients suffering from severe CAPD peritonitis underwent laparoscopically programmed lavage after removal of the catheter. After an average of four laparoscopic lavage operations all patients had to be treated using conventional open procedures; a mean of ten programmed lavage procedures were carried out because of increasing peritoneal inflammation and worsening of the clinical situation during minimal invasive therapy. One patient did not survive. Laparoscopic treatment is thus not recommended for diffuse peritonitis.
Woltmann
A
A
Klinik für Chirurgie, Medizinische Universität zu Lübeck.
Eckmann
C
C
Hoyer
J
J
Bruch
H P
HP
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010533:Peritoneal Lavage / Q000379:methods*; D010538:Peritonitis / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D015996:Survival Rate; D017211:Treatment Failure
Laparoskopische Etappenlavage bei CAPD-Katheter-Peritonitis--eine Alternative zur offenen Behandlung?