Value of implantable peritoneal ports in managing recurrent malignant ascites

Abstract

Purpose: To evaluate the safety and efficiency of percutaneous implantable peritoneal port in minimally invasive treatment of intractable ascites. Patients and methods: 40 patients with malignant ascites were referred from the oncology clinic to the radiodiagnosis department for percutaneous placement of peritoneal port catheter as a palliative treatment under guidance of ultrasonography and fluoroscopy. Ports were evaluated for safety and efficiency. Results: The technical insertion success rate of percutaneous implantable peritoneal port was 100% with gradual removal of ascites together with 100% immediate relief of symptoms. No major complication was noticed however one minor immediate complication (2.5%) was detected as leakage at the port placement site which stopped spontaneously with removal of ascites and conservative patient management .In long term results, one patient (2.5%) developed infection at port site after 3 months of successful ascites drainage. This technique avoided ascites related morbidity, increases patient compliance, and satisfaction by decreasing hospital visits as the drainage and patients monitor can be done at home. Conclusion: The percutaneous implantable peritoneal port system is safe and effective in palliation of symptomatic malignant ascites with minimal invasive treatment. Port aspiration can be performed by patients or family members without nursing assistance or hospital visits.

Keywords

• Malignant ascites
• Percutaneous palliation
• Implantable peritoneal port