Video-assisted thoracoscopic surgery for hydrothorax in peritoneal dialysis patients - check-air-leakage method.
Hydrothorax developing from pleuroperitoneal communication as a complication of peritoneal dialysis was first described in 1967 [Edward SR, Unger AM. Acute hydrothorax-a new complication of peritoneal dialysis. JAMA 1967; 199:853-5. ]. The incidence of hydrothorax is approximately 1.6-2% of continuous ambulatory peritoneal dialysis (CAPD) patients. The key to successful therapy is obliteration of the transdiaphragmatic route of dialysate leakage with video-assisted thoracoscopic surgery (VATS). The method in which air leakage is checked intraoperatively is the preferred choice and better than all other procedures.
Yen
Hsu-Ting
HT
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan, ROC.
Lu
Hung-Yi
HY
Liu
Hui Ping
HP
Hsieh
Ming-Jang
MJ
D003964:Diaphragm / Q000473:pathology*; D005402:Fistula / Q000601:surgery; D006801:Humans; D006876:Hydrothorax / Q000473:pathology / Q000601:surgery*; D010529:Peritoneal Cavity; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000379:methods; D010532:Peritoneal Diseases / Q000601:surgery; D035422:Pleural Cavity; D010995:Pleural Diseases / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013906:Thoracoscopy / Q000379:methods