01. Paracentesis for Mesothelioma
What Is Paracentesis for Mesothelioma?
Mesothelioma paracentesis procedures drain fluid from the abdominal cavity. The minimally invasive surgery relieves patient pain stemming from excess fluid (ascites). As little as two tablespoons of fluid (25 mL) in the peritoneal cavity qualifies as ascites.
In healthy individuals, a small amount of fluid lubricates the layers of the peritoneum (lining of the abdominal wall). Excess peritoneal fluid is a common symptom of腹膜间皮瘤万博专业版。这mesothelioma tumors may block the reabsorption of peritoneal fluid, leading to fluid buildup.
多余的流体，称为peritoneal effusion，可能导致胃痛和呼吸困难。
How Does Paracentesis Relieve Symptoms?
可穿刺剂通过排出过量的液体来缓解患者症状，从而减轻不适。可森肠术不是永久解决方案，而是为患者暂时缓解腹膜积液。腹膜间皮瘤患者可能会重万博专业版复接受症状治疗的可重复范围。
Peritoneal mesothelioma is not the only disease that causes fluid buildup in the abdomen. Fluid buildup is a symptom of many other diseases, such as abdominal cancers and cirrhosis. Doctors can use fluid from a paracentesis procedure to diagnose other diseases.
但是，腹水分析不能诊断间皮瘤万博专业版。这cancer can only be diagnosed through atissue biopsy。
What’s the Difference Between Paracentesis and Thoracentesis?
子宫森treats patients with excess abdominal fluid (peritoneal effusion). Thoracentesis treats patients with excess lung fluid (pleural effusion).
Fluid accumulation is a common symptom for manymalignant mesotheliomapatients. In peritoneal mesothelioma patients, the fluid accumulates between the layers of the peritoneum in the abdominal cavity. Paracentesis treats the symptom.
For恶性胸膜间皮瘤患者万博专业版, fluid accumulates between the layers lining the lung or pleural cavity. This fluid is removed throughthoracentesis或者pleurodesis。
子宫森and thoracentesis are minimally invasive and remove the excess fluid through needle aspiration. Doctors will perform the appropriate procedure based on where the fluid accumulates.
02. Paracentesis Procedure
在超衣过程中的期望
这mesothelioma paracentesis procedure is a minimally invasivesurgery。次要手术程序通常是在门诊的。医生可能会根据需要重复该手术以管理患者症状。
这goal of all paracentesis procedures is to remove excess fluid from the abdomen. Doctors perform the procedure as a palliative万博专业版间皮瘤治疗。这goal of palliative treatments is to lessen symptoms and improve quality of life. When performed for symptom relief, doctors typically attempt to remove all the excess fluid. Patients undergoing the procedure for other reasons, such as diagnostic purposes, may have less fluid removed.
无论是出于诊断或姑息治疗目的而完成的过程，该程序都应相对无痛。为了缓解疼痛，医生将局部麻醉剂应用于患者的腹部。这种局部止痛药减少了针头插入过程中的疼痛。
穿刺过程的步骤
- 这patient is positioned to make the procedure as safe and effective as possible.
- 医生可以使用超声检查来识别最佳针头放置。
- 这patient’s skin and underlying tissues are numbed.
- 这doctor inserts a needle into the abdomen to access the fluid.
- 针刺或其他医疗装置附着在针上并抽出液体。
- 一旦排干了所需的液体，医生就会清除针头和注射器。如果需要，患者可能会收到小缝合线。
When removing a large amount of fluid, some patients may experience low blood pressure. The decrease in blood pressure may result in dizziness. Malignant peritoneal mesothelioma patients may receive intravenous (IV) fluids during the procedure. The IV fluids prevent low blood pressure following paracentesis.
通常，一个可穿梭化大约需要30分钟才能完成。患者可以在cancer centers and hospitals在全国或医生办公室。
通常，胃肠病学家执行该程序。但是，间皮瘤患者可万博专业版能患有specialized mesothelioma doctorconduct the paracentesis.
Resources for Mesothelioma Patients
03. Benefits of Paracentesis
Benefits of Paracentesis for Mesothelioma Patients
子宫森for mesothelioma is a relatively low-risk procedure. As such, paracentesis may be a viable treatment for many peritoneal mesothelioma patients with ascites.
腹水可能会复发并继续引起诸如腹痛之类的症状。这palliative procedurecan be repeated as needed to reduce the abdominal pain and discomfort caused by the fluid. The frequency of paracentesis varies on a case-by-case basis.
If ascites is a recurring problem for patients, their medical team may instead insert a catheter into the patient’s peritoneal cavity. A catheter enables continuous draining of the peritoneal fluid.
04. Paracentesis Risks
可肠术风险和并发症
这re are few risks and complications involved with paracentesis. This palliative procedure does not prevent ascites from returning. There is no cure for ascites caused by peritoneal mesothelioma.
Risk of complications may increase if a patient moves during the procedure. If the patient is unable to hold the position, a physician may end the procedure early. This way, the needle will not damage or perforate nearby organs due to position changes. If the procedure does end early, doctors may not be able to remove the desired amount of fluid.
Side effects of the procedure are mild and infrequent.
Some peritoneal mesothelioma patients may also experience other paracentesis complications. For instance, those with co-occurring lung conditions may be more at risk for side effects.
In one case study, researchers reported a patient with peritoneal mesothelioma and chronic obstructive pulmonary disease (COPD). The 62-year-old patient experienced serious可肠术后的并发症。
- 患者经历了两次经历了气胸（部分或完全肺塌陷）。
这complication is very rare and only described in a couple of cases. Patients should discuss all treatment options for their individual cases, including risks and benefits, with their medical team.
05.可穿梭化资格
Who Can Be Treated With Paracentesis?
Any eligible patient experiencing a buildup of ascitic fluid may undergo paracentesis for symptom management. The procedure is minimally invasive. As such, paracentesis may be an option for patients with any stage of mesothelioma.
子宫森may treat peritoneal mesothelioma patients with ascites, as well as other patients experiencing the symptom. Due to the wide applicability of the procedure, it is available at most hospitals.
Patients experiencing abdominal discomfort should talk to their doctor about potential causes. Once diagnosed with ascites, paracentesis may be a beneficial palliative treatment option.
