Annals of Surgical Oncology

, Volume 22, Issue 5, pp 1722–1725 | Cite as

Laparoscopic Evacuation of Mucinous Ascites for Palliation of Pseudomyxoma Peritonei

  • Kaitlyn J. Kelly
  • Joel M. Baumgartner
  • Andrew M. LowyEmail author
Gastrointestinal Oncology



Accumulation of mucinous ascites causes significant morbidity for patients with unresectable pseudomyxoma peritonei (PMP). The success of paracentesis for mucin evacuation is limited due to the presence of adhesions, disease burden, and the viscous nature of mucinous ascites. We sought to review our experience with laparoscopic evacuation of mucinous ascites for palliation of PMP.


Records were reviewed for patients who underwent laparoscopy for carcinomatosis secondary to appendix or colon cancer from July 2007 to January 2014. Of 123 patients, 10 were identified who underwent 17 laparoscopic procedures for palliative evacuation of mucinous ascites.


All patients had primary appendiceal cancers and all presented with symptomatic ascites causing abdominal distension and bloating. Pneumoperitoneum was established with a Veress needle or 5-mm optical viewing trocar in the majority of cases (n = 11). In the remaining six cases, an open technique was used and a 10-mm Hasson trocar was placed. There were no trocar-related complications. The median volume of mucin evacuated was 2.0 liters (range 1.7–8.0). All procedures were done as same-day surgeries; no patients required hospitalization. All patients reported symptomatic improvement following the procedure. One patient experienced a grade 1 complication of persistent drainage from one incision, which was managed in the outpatient setting. The median follow-up for all pts was 9.1 months. The median time to recurrent symptoms requiring repeat intervention was 5.3 months.


Laparoscopic evacuation of mucinous ascites for select patients with PMP is feasible and results in significant, durable symptom control with minimal morbidity.


Mucinous Adenocarcinoma Veress Needle Pseudomyxoma Peritonei Complete Cytoreduction Optimal Cytoreduction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Society of Surgical Oncology 2014

Authors and Affiliations

  • Kaitlyn J. Kelly
    • 1
  • Joel M. Baumgartner
    • 1
  • Andrew M. Lowy
    • 1
    Email author
  1. 1.Division of Surgical Oncology, Department of SurgeryUniversity of California San Diego Moores Cancer CenterLa JollaUSA

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