Ultrasound-guided day-case wide-bore percutaneous mucin aspiration in advanced pseudomyxoma peritonei
Borg, Philip Ng, Helen Hoi-Lam Mullan, Damian Aziz, Omer Laasch, Hans-Ulrich
Borg, Philip
Ng, Helen Hoi-Lam
Mullan, Damian
Aziz, Omer
Laasch, Hans-Ulrich
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EPub Date
Publication Date
2023-02-16
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Abstract
To evaluate percutaneous ultrasound-guided day-case mucin aspiration in advanced pseudomyxoma peritonei (PMP) using a wide-bore drain with regards to its safety and efficacy. All patients who underwent percutaneous mucin aspiration for PMP between 2019-2021 at a single national peritoneal tumour service were included in this study. Under local anaesthesia, a suction-enabled 28-32 F catheter was used for drainage following wire-guided track dilatation. The volume drained and difference in abdominal girth pre- and post-procedure were measured. Patients graded difficulty in breathing and abdominal discomfort pre- and post-procedure. Histology reports were reviewed. Sixteen patients received 56 percutaneous mucin aspirations between 2019-2021. The aetiology was a low-grade appendiceal mucinous neoplasm (LAMN) in 50% of patients. The mean amount of mucin drained was 7,320 ± 3,000ml (range 300-13,500 ml). The mean reduction in abdominal girth post-procedure was 12.2 ± 5 cm (range 0-27 cm). Only grade 1 complications were observed. Percutaneous ultrasound-guided day-case aspiration of mucin for advanced and recurrent PMP using a wide-bore drain is a safe and effective procedure. It may be used in the palliative setting or as a bridge to surgery in the very symptomatic patient or if there is a reversible contraindication to surgery. [Abstract copyright: Copyright © 2023. Published by Elsevier Ltd.]
Citation
Borg, P., Ng, H. H-L., Mullan, D., Aziz, O., & Laasch, H-U. (2023). Ultrasound-guided day-case wide-bore percutaneous mucin aspiration in advanced pseudomyxoma peritonei. Clinical Radiology, 78(5), e458-e462. https://doi.org/10.1016/j.crad.2023.01.016
Publisher
Elsevier
Journal
Clinical Radiology
Research Unit
DOI
10.1016/j.crad.2023.01.016
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PubMed Central ID
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Article
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Series/Report no.
ISSN
0009-9260
EISSN
1365-229X