Video-assisted thoracoscopic surgery for hydrothorax in peritoneal dialysis patients — check-air-leakage method

Yen, Hsu-Ting; Lu, Hung-Yi; Liu, Hui Ping; Hsieh, Ming‐Ju

doi:10.1016/j.ejcts.2005.06.041

Cited by 15 publications

(8 citation statements)

References 7 publications

(5 reference statements)

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“…Thus, we used the following three methods to detect them: (1) carefully checking the leakage of the CAPD solution; (2) checking the leakage of the dye-added CAPD solution; (3) using a technique called the check-air-leakage method. 3 In our case, the former two methods successfully detected the lesion. Yen et al reported that the sensitivity of the check-airleakage method is high, 3 but we were unable to detect the lesion using that method.…”

Section: Discussionmentioning

confidence: 59%

See 1 more Smart Citation

Right hydrothorax found soon after introduction of continuous ambulatory peritoneal dialysis: thoracoscopic surgery for pleuroperitoneal communication

Hashimoto

Watanabe

Hashiguchi

et al. 2011

Gen Thorac Cardiovasc Surg

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Hydrothorax due to pleuroperitoneal communication is a rare complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). One of the problems of this complication is the need to cease CAPD, which means that the patient must shift completely to hemodialysis. Therefore, a quick, minimally invasive, and complete surgical repair of the pleuroperitoneal communication is required. We recently treated a patient who had developed a right hydrothorax soon after the introduction of CAPD. Clinical examination led to a diagnosis of pleuroperitoneal communication. The patient was successfully treated by complete thoracoscopic repair of the communication. We could precisely identify the defective site on the diaphragm using the dye-added CAPD solution method. CAPD was restarted 5 days after the operation, and there was no recurrence of hydrothorax after the operation.

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Section: Discussionmentioning

confidence: 59%

“…3312; Fax +81-11-613-7318 e-mail: makohashi1001@hotmail.co.jp used a technique called the check-air-leakage method. 3 We found no air leakage on the diaphragm with this method, not even from the two points that were already determined to be pleuroperitoneal communications.…”

Section: Casementioning

confidence: 92%

Right hydrothorax found soon after introduction of continuous ambulatory peritoneal dialysis: thoracoscopic surgery for pleuroperitoneal communication

Hashimoto

Watanabe

Hashiguchi

et al. 2011

Gen Thorac Cardiovasc Surg

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show abstract

“…The third method is to identify the communication by fi lling the thoracic cavity with sterile water and monitoring air bubbles entering from the abdomen into the thoracic cavity. 8 Although this method is simple to perform, exact localization of the air bubbles entering the thorax may be quite diffi cult. Nonetheless, this third method can be a useful alternative if the fi rst two methods are not able to determine the location of the communication.…”

Section: Discussionmentioning

confidence: 99%

Simple surgical treatment for pleuroperitoneal communication without interruption of continuous ambulatory peritoneal dialysis

Kumagai

Watari

Kuratsune

2007

Gen Thorac Cardiovasc Surg

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Pleuroperitoneal communication is a complication of continuous ambulatory peritoneal dialysis (CAPD) that can necessitate cessation of CAPD. Hemodialysis was started on a 52-year-old woman and shifted to CAPD 1 month later. However, 18 days after initiation of CAPD, her chest radiograph showed a right-side hydrothorax. Thoracentesis yielded a colorless pleural effusion with markedly higher glucose levels than in her serum, indicating the presence of pleuroperitoneal communication. Three days later, thoracoscopic surgery was performed. A colored dialysis solution preoperatively injected into the abdominal cavity identified intraoperatively leakage from the diaphragm. The leakage points were closed by a no-knife-type automatic stapler with absorbable polyglycolic acid felt and fibrin glue. CAPD was restarted on the operative day, and there was no recurrence of the right hydrothorax. We conclude that this simple method can be used effectively to treat pleuroperitoneal communication.

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“…Several cases of video-assisted thoracoscopic surgery for PPC in CAPD patients have been published. 2,[5][6][7][8] However, few single-institutional reports discuss the details of surgery for PPC in CAPD patients including intraoperative findings, postoperative course, and outcomes. We experienced four surgical cases of PPC in CAPD patients since 2008, and our aim was to retrospectively analyze their clinical features as well as their intraoperative findings, postoperative course, and outcomes.…”

Section: Introductionmentioning

confidence: 99%

Surgical Repair of Pleuroperitoneal Communication with Continuous Ambulatory Peritoneal Dialysis

Fukushima

Katsura

Haratake

et al. 2017

Thorac cardiovasc Surg

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Background Pleuroperitoneal communication is a serious complication in patients receiving continuous ambulatory peritoneal dialysis. However, few single-institutional reports discuss the details of pleuroperitoneal communication in continuous ambulatory peritoneal dialysis patients regarding the intraoperative findings, postoperative course, and outcomes. Methods We retrospectively reviewed the records of consecutive pleuroperitoneal communication patients who were treated surgically from September 2008 to March 2016. Results All four patients had right-sided hydrothorax. The time from introduction of continuous ambulatory peritoneal dialysis to the diagnosis of hydrothorax ranged from 1 to 12 months (average: 5.5 months). Case 1 and case 4 had bleblike lesions near the center of the diaphragm; case 2 had a small hole located near the cardiophrenic angle, and case 3 had thinning of the diaphragm near the cardiophrenic angle. All lesions except for case 3 were directly closed with absorbable suture and reinforced by fibrin glue and a polyglycolic acid sheet. In case 3, the thinned diaphragm was reinforced using fibrin glue, a sealing sheet, and pericardial fat pad tissue. Continuous ambulatory peritoneal dialysis was reinitiated an average period of 11 days (range: 4–15 days) postoperatively. During postoperative follow-up, there was no recurrence of hydrothorax. Continuous ambulatory peritoneal dialysis was continued for an average of 16.7 months (range: 3–34 months) after surgical treatment. Conclusions Surgical treatment for pleuroperitoneal communication is a safe and acceptable procedure and could greatly benefit continuous ambulatory peritoneal dialysis patients.

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Video-assisted thoracoscopic surgery for hydrothorax in peritoneal dialysis patients — check-air-leakage method

Cited by 15 publications

References 7 publications

Right hydrothorax found soon after introduction of continuous ambulatory peritoneal dialysis: thoracoscopic surgery for pleuroperitoneal communication

Right hydrothorax found soon after introduction of continuous ambulatory peritoneal dialysis: thoracoscopic surgery for pleuroperitoneal communication

Simple surgical treatment for pleuroperitoneal communication without interruption of continuous ambulatory peritoneal dialysis

Surgical Repair of Pleuroperitoneal Communication with Continuous Ambulatory Peritoneal Dialysis

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