Percutaneous needle decompression in treatment of malignant small bowel obstruction

Table 4 Complications after percutaneous intestinal puncture in seven patients

Patient No.	Primary malignancy	Complication	Postoperative time to complication (d)	Outcome
1	Pancreas	Death	5	Died of tumor progression, no autopsy was performed
2	Gastric	Peritonitis	3	Intravenous systemic antibiotics therapy, ascites culture found growing Klebsiella pneumoniae; discharged 3 wk after surgery, palliative care was continued
3	Ovarian	Abdominal pain, intestinal contents leak	Intraoperative	Anti-analgesic treatment, complete extraction of the intestinal contents, abdominal flush with metronidazole; after 14 d, patient was voluntarily discharged
4	Gastric	Puncture site metastases	17	No obvious symptoms at metastatic sites, postoperative local arterial infusion of chemotherapy was delivered; discharged after 4 wk for palliative care
5	Ovarian	Intestinal contents leak, sepsis	< 1	Persistent abdominal flush with metronidazole and abdominal percutaneous catheter drainage, systemic antibiotics, nasal intestinal drainage tube was placed postoperatively; discharged after 1 wk for rehabilitation
6	Ovarian	Ascites extravasation	< 1	Closed drainage with abdominal decompression, ascites smears showed tumor cells; discharged after 28 d following peritoneal local chemotherapy
7	Cervical	Exudates at puncture sites	< 1	Exudates disappeared following local pressure dressing, intravenous albumin and intensified nutrition therapy for 2 d; discharged 10 d after surgery