Malignant ascites in patients with terminal cancer is effectively treated with permanent peritoneal catheter.
BACKGROUND
Malignant ascites is a pathological condition caused by intra- or extra-abdominal disseminated cancer. The object of treatment is palliation. In search of an effective and minimally invasive palliative treatment of malignant ascites placement of a permanent intra peritoneal catheter has been suggested.


OBJECTIVE
To evaluate our experiences with treatment of malignant ascites by implantation of a permanent PleurX catheter.


METHODS
A retrospective study was conducted, comprising 20 consecutive patients with terminal cancer, who had a permanent PleurX catheter implanted because of malignant ascites in the period from February to November 2014. Using the patients' medical records, we retrieved data on patients and procedures.


RESULTS
The technical success rate was 100%. Catheter patency was 95.2%, one catheter was removed due to dislocation. Ten patients (50.0%) experienced minor adverse events. No procedural difficulties were reported and there was no need for additional treatment of malignant ascites after catheter implantation. Median residual survival after catheter implantation was 27 days.


CONCLUSIONS
Implantation of a permanent PleurX catheter is a minimally invasive and effective procedure with only minor adverse events and a high rate of catheter patency in patients with malignant ascites caused by terminal cancer disease.
Department of Surgery, Section for Upper Gastrointestinal and Hepato-pancreatico-biliary Surgery, Aarhus University Hospital, Aarhus, Denmark.
Michelle
M
Meier
Department of Surgery, Section for Upper Gastrointestinal and Hepato-pancreatico-biliary Surgery, Aarhus University Hospital, Aarhus, Denmark.
Frank V
FV
Mortensen
Department of Radiology, Aarhus University Hospital, Aarhus, Denmark.
Hans Henrik Torp
HH
Madsen
Abdomen/GI; adults; catheters; drainage; interventional; peritoneum