PMID: 3762170Sep 1, 1986Paper

Peritoneovenous shunt and neoplastic ascites: a 5-year experience report

Journal of Surgical Oncology
N CampioniF M Sega

Abstract

The cases of 42 patients with malignant ascites treated with a peritoneal venous shunt over a 5-year period are reviewed to establish the incidence of surgical and postsurgical complications. Although the yield of malignant cells found in the peripheral blood was increased after shunting, no new hematogenous metastases were observed after the operation. No evidence of disseminated intravascular coagulation was observed after shunt placement. While the shunt effectively relieved the discomfort due to abdominal distention and respiratory impairment, no restoration of cutaneous hypersensitivity was observed in the nine patients who were anergic prior to surgery. The median survival of patients with breast and gynecological cancer, after surgery, was significantly longer than the survival of patients with primary gastrointestinal neoplasma. In conclusion, peritoneal venous shunt appears to be an effective and safe method to improve the quality of life of patients with malignant ascites.

References

May 5, 1979·Lancet·B MaatF B Lammes
Oct 1, 1974·Annals of Surgery·H H LeveenS Grosberg
Jan 1, 1981·Journal of Surgical Oncology·J D BitranA A Billings
Feb 1, 1981·Annals of Surgery·F E EckhauserJ G Turcotte

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Citations

Dec 12, 2019·The Cochrane Database of Systematic Reviews·Chumnan KietpeerakoolPisake Lumbiganon
Aug 13, 2002·The American Journal of Hospice & Palliative Care·Tara D Iyengar, Thomas J Herzog

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