Feasibility of reinstitution of CAPD after partial hepatectomy in patients with malignant hepatic tumors

✦ Objective: To determine the feasibility of reinstitution of continuous ambulatory peritoneal dialysis (CAPD) in patients with malignant hepatic tumors after partial hepatectomy. ✦ Design: Retrospective analysis of 2 CAPD patients. ✦ Setting: Dialysis unit of a university teaching hospital. ✦ Patients: Two CAPD patients with malignant hepatic tumors who had undergone partial hepatectomy. ✦ Main Outcome Measures: Serum biochemistry, Kt/V, peritoneal equilibration test (PET) results before and after hepatectomy. ✦ Results: One patient was able to resume CAPD 4 weeks after partial hepatectomy. The other patient was successfully resumed on CAPD after resting the peritoneum for 3 months following partial hepatectomy. The serum biochemistry, Kt/V, and PET results of the 2 patients did not change significantly before and after partial hepatectomy. ✦ Conclusions: Reinstitution of CAPD after partial hepatectomy in patients with malignant hepatic tumors is feasible.