中文 | ENG

第58卷 第3期 2025-5
Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models

.........................

第58卷 第3期 2025-5
Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives

.........................

第58卷 第3期 2025-5
Ensuring ethical and qualified authorship: The key to trustworthiness in clinical surgery journal

.........................

第58卷 第3期 2025-5
Artificial intelligence for academic purpose in clinic surgery: ChatGPT, Turnitin, and false positive

.........................

第58卷 第3期 2025-5
COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery

.........................

第58卷 第3期 2025-5
Eggplant deformity in penile fracture

.........................

第58卷 第3期 2025-5
Splenectomy for Klippel-Trenaunay syndrome: Systematic review and case series

.........................

第58卷 第3期 2025-5
Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”

.........................

第58卷 第3期 2025-5
Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis

.........................

第58卷 第3期 2025-5
Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review

.........................

第58卷 第3期 2025-5
Pilonidal disease management in young adults: A retrospective analysis of practices in a single tertiary center in Bahrain

.........................

第58卷 第3期 2025-5
Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study

.........................

第58卷 第3期 2025-5
Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)

.........................

第58卷 第3期 2025-5
Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study

.........................

第58卷 第3期 2025-5
Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics

.........................

第58卷 第2期 2025-3
Predatory publisher and low standard journal: An emerging problem in clinical surgery field

.........................

第58卷 第2期 2025-3
Conflict of interest in clinical surgery: Contemporary concern in digital era

.........................

第58卷 第2期 2025-3
Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication

.........................

第58卷 第2期 2025-3
Spontaneous bilateral basal ganglia hemorrhage

.........................

第58卷 第2期 2025-3
Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

.........................
登入帳號才能閱讀全文
 
篇名 One-Stage Removal and Replacement of Tract-Infected Catheter in Continuous Ambulatory Peritoneal Dialysis Patients
作者 Wei-Chiang Hsiao, Chung-Jye Hung, Jeng-Jong Huang, Po-Chang Lee
卷期/出版年月 38卷4期 (2005/8)
頁次 159-164
摘要 Objective: Catheter-related infections represent a primary infectious complication in patients with continuous ambulatory peritoneal dialysis (CAPD). A one-stage operation or two-stage procedure can be taken to remove and replace the infected catheter in CAPD patients. We retrospectively compared clinical features and outcomes between two surgical groups between 1994 and 2003 at National Cheng Kung University Hospital. Methods: We performed the two-stage procedure to replace infected catheter before 1997. In 1997, we began to adopt a one-stage surgical procedure to treat CAPD patients who had exit-site (ES) or tunnel (T) infections, but the conventional twostage operation was performed for patients with peritonitis. During this study period from 1994 to 2003, 10 patients received the one-stage operation (eight with ES infection and two with T infection) while the other 10 patients (five with ES/T infections and five with peritonitis) received the two-stage procedure. After insertion of new catheters, the patients underwent substitutive hemodialysis therapy for 10 days prior to restarting CAPD and were subsequently followed up for at least three months. Results: The patients receiving the one-stage operation showed no significant differences in the mean age, duration of antibiotic therapy prior to operation, and clinical outcome as compared with those receiving the two-stage procedure. The interval for substitutive hemodialysis therapy prior to restarting CAPD was 10.0±0.0 days for patients in the one-stage group. In the two-stage group, the mean durations of substitutive hemodialysis therapy were 31.2±8.4 days (P=0.001) for patients with ES/T infections and 56.2±12.3 days (P=0.001) for those with peritonitis, which were longer as compared with that in the one-stage group. Conclusion: The one-stage operation seemed to yield satisfactory results in treatment of CAPD patients with ES/T infections, and shortened the interval for substitutive hemodialysis, thus allowing an early return to CAPD as compared with the conventional two-stage surgery. It is more practical and may also be safe to use the one-stage operation to treat tract-infected catheter in CAPD patients.
關鍵詞 continuous ambulatory peritoneal dialysis, catheter-related infection,one-stage surgery
分類 Original Article

台灣外科醫學會雜誌 © 2006 Taiwan Surgical Association All Rights Reserved
會 址:台北市南京東路五段 31 號 3 樓
電 話:(02) 2769-7845 傳 真:(02) 2746-7149 Email: journal@surgery.org.tw