Influence of time to start peritoneal dialysis for the first time after laparoscopic surgery on prognosis of patients
Objective To explore the difference of the first different peritoneal dialysis start time after laparoscopic catheterization.Methods A total of 174 patients diagnosed with chronic kidney disease from April 2013 to September 2021 in Zhejiang Provincial People's Hospital were selected and followed up for two years,divided into an emergency start-up group(≤7 d,82 cases)and a routine start-up group(＞7 d,92 cases).The differences in preoperative primary disease,hemoglobin,albu-min,and serum creatinine levels as well as post-dialysis complications such as leakage,hemorrhage,hernia,drift tube,and peritonitis were compared respectively.Results There was no significant difference in the proportion of primary diseases such as hypertension,diabetes,hypertension combined with diabetes,chronic nephritis,IgA nephropathy and other causes between the two groups(all P＞0.05).There was no significant difference in the proportion of complications such as bleeding,perito-nitis,floating tube and leakage between the two groups(all P＞0.05).Conclusions There is no sig-nificant difference between emergency start-up of peritoneal dialysis and routine start-up after laparo-scopic peritoneal dialysis catheterization,which can reduce unnecessary hemodialysis of patients and reduce complications and costs.
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