PMC9537543_01
Time courses of kidney function and body weight from the time of the initial visit to the introduction of peritoneal dialysis. Uncorrected eGFR, which reflects kidney function, is represented by red triangles on the left axis, and body weight is represented by blue circles on the right axis.
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F1
The time courses of kidney function and body weight after the first visit are shown in Figure 1. His uncorrected eGFRcreat was temporarily increased to 14.8 ml/min but was then decreased to 10.0 ml/min 3 months after surgery (Figure 1).
Schematic images and intraoperative photographs of simultaneous laparoscopic sleeve gastrectomy and implantation of a buried peritoneal dialysis catheter. (A) Schematic designs of simultaneous laparoscopic sleeve gastrectomy and implantation of a buried peritoneal dialysis catheter. Red: location of trocar insertion. Blue: buried PD catheter. Green: PD catheter insertion and implantation site. (B-D) Intraoperative photographs. (B) Longitudinal sleeve gastrectomy from the antrum to the proximal His angle. (C) The stapler line sutured. (D) PD catheter sutured laparoscopically to the lower abdominal wall. (E) Photograph of the PD catheter exteriorized to the upper abdomen.
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F2
Four trocars were placed to avoid the planned PD catheter implantation site, and a 15 mm port was subsequently extended to extract the specimen (Figure 2A). Tri-Staple Technology; Covidien) (Figure 2B). The stapler line was oversewn with a running 3-0 absorbable suture to prevent bleeding, leakage, and adhesions (Figure 2C). The intra-abdominal segment of the PD catheter was led to the Douglas pouch under laparoscopic guidance without using a stylet and sutured to the lower abdominal wall (Figure 2D). Therefore, the PD catheter was exteriorized to the upper abdomen (Figure 2E) and a full volume exchange was able to be initiated without any trouble.