腹膜透析患者行腹腔镜结直肠手术的安全性分析

目的 探讨腹膜透析患者行腹腔镜结直肠手术的安全性。方法 回顾性分析湖南省郴州市第一人民医院2016年6月至2018年12月接受腹腔镜结直肠癌手术的310例患者的临床资料。对其中4例腹膜透析患者因结直肠癌行腹腔镜结直肠手术患者的临床特点进行分析。结果 所有病例均获得安全有效地治疗。手术时间180~240 min,术后住院时间10~15 d,未出现相关并发症。结论 腹膜透析患者行腹腔镜结直肠手术是安全的。今后还需更多地研究来规范腹膜透析患者在行腹腔镜结直肠手术的围手术期管理。

Safety of laparoscopic colorectal surgery in patients with peritoneal dialysis

Objective To explore the safety of laparoscopic colorectal surgery in patients with peritoneal dialysis （PD）. Methods Retrospective analysis a total of 310 patients underwent laparoscopic colorectal surgery for colorectal cancer at of Chenzhou NO.1 people's hospitalduring June 2016 to December 2018. Among them, four had PD when they underwent surgery. We retrospectively investigated the clinical characteristics of these four cases. Results All patients were treated with laparoscopiccolorectal surgery successfully.The time of operation was from 180 min to 240 min．The patients were discharged 10~15 days following the operation,no serious complications. Conclusion Our study suggests that laparoscopic colorectal surgeries in patients with PD may be safety and reliably. Future studies should aim to better standardize the perioperative management of PD during laparoscopic colorectal surgery.