Outcomes of emergency surgery for acute abdomen in dialysis patients: experience of a single community hospital

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• 作者：Takahiro Tomino (1)
  Hideaki Uchiyama (1)
  Shinji Itoh (1)
  Takahiro Higashi (1)
  Ai Edagawa (1)
  Akinori Egashira (1)
  Daihiko Eguchi (1)
  Hirofumi Kawanaka (1)
  Toshiroh Okuyama (1)
  Masahiro Tateishi (1)
  Daisuke Korenaga (1)
  Kenji Takenaka (1)
  
• 关键词：Emergency surgery ; Dialysis patients ; Acute abdomen ; Postoperative complication ; Morbidity and mortality
• 刊名：Surgery Today
• 出版年：2014
• 出版时间：April 2014
• 年：2014
• 卷：44
• 期：4
• 页码：690-695
• 全文大小：193 KB
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• 作者单位：Takahiro Tomino (1)
  Hideaki Uchiyama (1)
  Shinji Itoh (1)
  Takahiro Higashi (1)
  Ai Edagawa (1)
  Akinori Egashira (1)
  Daihiko Eguchi (1)
  Hirofumi Kawanaka (1)
  Toshiroh Okuyama (1)
  Masahiro Tateishi (1)
  Daisuke Korenaga (1)
  Kenji Takenaka (1)
  
  1. Department of Surgery, Fukuoka City Hospital, Fukuoka, 812-0046, Japan
  
• ISSN：1436-2813

文摘

Purpose Long-term dialysis often causes physiological and metabolic problems that may affect the outcomes of surgery. The aim of this study was to elucidate whether emergency surgery for acute abdomen yields similar outcomes in dialysis patients versus non-dialysis patients. Methods The subjects were 126 patients who underwent emergency surgery for acute abdomen between January, 2007 and November, 2011 in our hospital. They were divided into a dialysis group (HD group; n?=?9) and a non-dialysis group (non-HD group; n?=?117) and their postoperative morbidity and mortality were compared. Results Postoperative morbidity and mortality were significantly worse in the HD group. All 9 of these patients succumbed to postoperative complications versus only 5 of the 117 patients in the non-HD group. Conclusion The outcomes of emergency surgery for acute abdomen were significantly worse for dialysis patients than for non-dialysis patients. Prompt diagnosis, initiation of the most suitable surgical procedure, and meticulous postoperative cares are imperative to improving the surgical outcomes of dialysis patients.