Thoracoscopic surgery and pleurodesis for pleuroperitoneal communication in patients on continuous ambulatory peritoneal dialysis

• Published in: American journal of kidney diseases Vol. 34; no. 1; pp. 170 - 172
• Main Authors: Okada, Hirokazu, Ryuzaki, Munekazu, Kotaki, Shuhei, Nakamoto, Hidetomo, Sugahara, Souichi, Kaneko, Kouichi, Yamamoto, Takaaki, Kawahara, Hideyuki, Suzuki, Hiromichi
• Format: Journal Article
• Language: English
• Published: Orlando, FL Elsevier Inc 01-07-1999; Elsevier
• Subjects: Biological and medical sciences; CAPD; Endoscopy; Female; Fistula - etiology; Fistula - surgery; Humans; hydrothorax; Hydrothorax - etiology; Hydrothorax - surgery; Medical sciences; Middle Aged; Peritoneal Dialysis, Continuous Ambulatory - adverse effects; Peritoneal Diseases - etiology; Peritoneal Diseases - surgery; Pleural Diseases - etiology; Pleural Diseases - surgery; Pleurodesis; pleuroperitoneal communication; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the respiratory system; Thoracoscopy; pleuroperitoneal communication; hydrothorax; thoracoscopy; CAPD; pleurodesis; Human; Kidney disease; Urinary system disease; Respiratory disease; Peritoneal dialysis; Case study; Extrarenal dialysis; Chronic; Treatment; Surgery; Renal failure; Digestive diseases; Pleural disease; Adult; Complication; Endoscopy; Technique; Pleura; Thoracoscopy; Communication; Peritoneum
• ISSN: 0272-6386; 1523-6838
• DOI: 10.1016/S0272-6386(99)70126-5

Two patients on continuous ambulatory peritoneal dialysis (CAPD) developed right massive hydrothorax and were diagnosed as having pleuroperitoneal communication. Thoracoscopic surgery and pleurodesis were performed. It showed that one was caused by multiple flaws in the diaphragm and that the other was attributable to multiple blebs in the diaphragmatic dome. After the procedure, both of them had no recurrence of hydrothorax and underwent CAPD safely. We recommend thoracoscopic surgery and pleurodesis as the first choice of therapeutic methods for pleuroperitoneal communication.