Role of different techniques for the placement of Denver peritoneovenous shunt (PVS) in malignant ascites

The aim of the study is to evaluate 3 different techniques of Denver peritoneovenous shunt (PVS) placement. Fifty-three patients with malignant ascites underwent placement of 55 Denver PVS by a surgical (33 cases) or percutaneous (18) or laparoscopically assisted (4) procedure. There were 2 cases of...

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Bibliographic Details
Published inSurgical laparoscopy, endoscopy & percutaneous techniques Vol. 14; no. 4; p. 222
Main Authors Clara, Renzo, Righi, Dorico, Bortolini, Massimiliano, Cornaglia, Silvia, Ruffino, Maria Antonella, Zanon, Claudio
Format Journal Article
LanguageEnglish
Published United States 01.08.2004
Subjects
Adult
Aged
Aged, 80 and over
Ascites - surgery
Feasibility Studies
Female
Humans
Laparoscopy
Male
Middle Aged
Peritoneovenous Shunt - methods
Retrospective Studies
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Summary:The aim of the study is to evaluate 3 different techniques of Denver peritoneovenous shunt (PVS) placement. Fifty-three patients with malignant ascites underwent placement of 55 Denver PVS by a surgical (33 cases) or percutaneous (18) or laparoscopically assisted (4) procedure. There were 2 cases of postoperative mortality due to cardiac failure, and 7 cases of shunt obstruction (2 of them required replacement). Twenty patients underwent subsequent palliative treatment with chemotherapy or surgery. Complication and control of ascites rates are similar for the 3 techniques. Placement of Denver PVS for the treatment of malignant ascites appears to be a safe and useful procedure. Surgical dissection of the jugular vein is not mandatory. The percutaneous technique is the easiest, fastest, and least invasive procedure. Laparoscopic-assisted positioning is recommended if a peritoneal biopsy and/or abdominal exploration is required for a definitive diagnosis.
ISSN:1530-4515
DOI:10.1097/01.sle.0000136675.54624.16