Tueche S G, Pector J C
Gastrointestinal Department Jules Bordet Institute, Tumor Center of the Université Libre de Bruxelles, Belgium.
Hepatogastroenterology. 2000 Sep-Oct;47(35):1322-4.
BACKGROUND/AIMS: This is the review of our experience in the treatment of malignant ascites using Le Veen and Denver peritoneovenous shunt.
From 1975-1998, 24 peritoneovenous shunts were inserted in 22 patients with malignant ascites.
All patients benefited from the procedure. The principal cause of failure was shunt occlusion (n = 5).
This study permits us to conclude that a preoperative appropriated selection of patients, should decrease failure rate. Patients should be sent to surgery as soon as the diagnosis of recalcitrant ascites is confirmed, to obtain a longer and more comfortable quality of life with terminal cancer.
背景/目的:本文回顾了我们使用Le Veen和Denver腹腔静脉分流术治疗恶性腹水的经验。
1975年至1998年,对22例恶性腹水患者进行了24次腹腔静脉分流术。
所有患者均从该手术中获益。失败的主要原因是分流管堵塞(n = 5)。
本研究使我们得出结论,术前适当选择患者可降低失败率。一旦确诊顽固性腹水,应尽快将患者送去手术,以使晚期癌症患者获得更长且更舒适的生活质量。