Abstract
A 78-year-old man under continuous ambulatory peritoneal dialysis (CAPD) due to chronic kidney disease for 2 years previously was given a diagnosis of repeated cholecystitis and cholelithiasis. Despite CAPD, his urine volume was approximately 1,000 ml a day. After the dialysate was drained on the morning of surgery, laparoscopic cholecystectomy was performed. All wounds were tightly closed in two layers. His postoperative course was uneventful and he was able to eat solid foods from the day after the operation. CAPD was restarted on postoperative day 3 with half the volume of dialysate. The dialysate volume was gradually increased and resumed to the normal level on postoperative day 5. As a result, he was discharged on postoperative day 6 without hemodialysis. During the 24-month postoperative monitoring, he has had no complications and CAPD was performed without any problem. We propose that the combination of tight wound closure and modification of dialysate volume prevents the need for transient hemodialysis while patients are able to resume CAPD during the recovery period after the operation.
