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One-Step Method in Creation of Artificial Ascites

BACKGROUND: The study aims to improve the success rate and the rapidity in creating artificial ascites before starting the treatment for subcapsular hepatocellular carcinomas. METHODS: Two hundred and forty-six consecutive hepatocellular carcinoma patients who required the instillation of artificial...

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Autores principales: Chou, Tienshin, Yen, Cho-Li, Chen, Li-Wei, Chien, Cheng-Hung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944813/
https://www.ncbi.nlm.nih.gov/pubmed/36844768
http://dx.doi.org/10.4103/jmu.jmu_17_22
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author Chou, Tienshin
Yen, Cho-Li
Chen, Li-Wei
Chien, Cheng-Hung
author_facet Chou, Tienshin
Yen, Cho-Li
Chen, Li-Wei
Chien, Cheng-Hung
author_sort Chou, Tienshin
collection PubMed
description BACKGROUND: The study aims to improve the success rate and the rapidity in creating artificial ascites before starting the treatment for subcapsular hepatocellular carcinomas. METHODS: Two hundred and forty-six consecutive hepatocellular carcinoma patients who required the instillation of artificial ascites for better visualization or prevention from organ injury were recruited between November 2011 and September 2017. Initially, 95 patients were using the Seldinger technique, while the remaining 151 patients were using the one-step method. The proportions of patients who had undergone surgery, transarterial chemoembolization, or radiofrequency ablation therapy before performing artificial ascites infusion were 11.6% (11/95), 3% (3/95), and 37% (35/95) in the Seldinger group, and 15.9% (24/151), 15.2% (23/151), and 52.3% (79/151), respectively, in the one-step group. RESULTS: The complete success rate, partial success rate, and failure rate in creating artificial ascites using the Seldinger technique and the one-step method were 76.8% (73/95), 11.6% (11/95), 11.6% (11/95) and 88.1% (133/151), 7.9% (12/151), 4% (6/151), respectively. The complete success rate was significantly higher in the one-step method group (P < 0.05) than that of the Seldinger group. The mean time required from starting the procedure to successful intraperitoneal instillation of glucose water was 145.79 ± 133.37 s in the one-step method, which was statistically shorter than that of 238.68 ± 95.58 s in the Seldinger group (P < 0.05). CONCLUSION: The one-step method has a higher success rate than the Seldinger method in creating artificial ascites and is faster, especially in treatment-experienced patients.
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spelling pubmed-99448132023-02-23 One-Step Method in Creation of Artificial Ascites Chou, Tienshin Yen, Cho-Li Chen, Li-Wei Chien, Cheng-Hung J Med Ultrasound Technical Note BACKGROUND: The study aims to improve the success rate and the rapidity in creating artificial ascites before starting the treatment for subcapsular hepatocellular carcinomas. METHODS: Two hundred and forty-six consecutive hepatocellular carcinoma patients who required the instillation of artificial ascites for better visualization or prevention from organ injury were recruited between November 2011 and September 2017. Initially, 95 patients were using the Seldinger technique, while the remaining 151 patients were using the one-step method. The proportions of patients who had undergone surgery, transarterial chemoembolization, or radiofrequency ablation therapy before performing artificial ascites infusion were 11.6% (11/95), 3% (3/95), and 37% (35/95) in the Seldinger group, and 15.9% (24/151), 15.2% (23/151), and 52.3% (79/151), respectively, in the one-step group. RESULTS: The complete success rate, partial success rate, and failure rate in creating artificial ascites using the Seldinger technique and the one-step method were 76.8% (73/95), 11.6% (11/95), 11.6% (11/95) and 88.1% (133/151), 7.9% (12/151), 4% (6/151), respectively. The complete success rate was significantly higher in the one-step method group (P < 0.05) than that of the Seldinger group. The mean time required from starting the procedure to successful intraperitoneal instillation of glucose water was 145.79 ± 133.37 s in the one-step method, which was statistically shorter than that of 238.68 ± 95.58 s in the Seldinger group (P < 0.05). CONCLUSION: The one-step method has a higher success rate than the Seldinger method in creating artificial ascites and is faster, especially in treatment-experienced patients. Wolters Kluwer - Medknow 2022-08-16 /pmc/articles/PMC9944813/ /pubmed/36844768 http://dx.doi.org/10.4103/jmu.jmu_17_22 Text en Copyright: © 2022 Journal of Medical Ultrasound https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Technical Note
Chou, Tienshin
Yen, Cho-Li
Chen, Li-Wei
Chien, Cheng-Hung
One-Step Method in Creation of Artificial Ascites
title One-Step Method in Creation of Artificial Ascites
title_full One-Step Method in Creation of Artificial Ascites
title_fullStr One-Step Method in Creation of Artificial Ascites
title_full_unstemmed One-Step Method in Creation of Artificial Ascites
title_short One-Step Method in Creation of Artificial Ascites
title_sort one-step method in creation of artificial ascites
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944813/
https://www.ncbi.nlm.nih.gov/pubmed/36844768
http://dx.doi.org/10.4103/jmu.jmu_17_22
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