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While iterative drainages can effectively relieve symptoms, frequent hospital visits and the significant volume of fluid requiring removal pose considerable challenges. A semi-continuous approach using a permanent bedside drain may offer more frequent drainages of smaller volumes. This study aimed to examine the feasibility, reliability, and safety of a semi-permanent bedside abdominal drain for patients in advanced palliative care with refractory malignant ascites.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This is a retrospective study, with cases identified through computerized queries of digital patient records. Data collected included patient characteristics, biological parameters, procedure details, and end-of-life outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Between 2019 and 2024, this drain was proposed to 25 palliative care patients. They had received a median of three lines of oncological treatment, with 60% of them receiving exclusively palliative care at the time of drainage. Drain placement had a beneficial impact on disabling symptoms in over 92% of cases, allowing 60% of patients to return to home hospitalization, without requiring additional hospital visits for paracentesis. The median time between drain placement and end of life was 36.5\u00a0days [4;147], while the median time from the diagnosis of refractory ascites to death was 93.7\u00a0days [14;263].<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>A non-tunneled semi-permanent catheter, easily implanted at the patient\u2019s bedside, may improve QoL. This study serves as a pilot for a prospective cohort that will analyze QoL improvements and economic costs.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00520-025-09551-1","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T08:34:50Z","timestamp":1748075690000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Palliative semi-permanent abdominal drain for the management of refractory malignant ascites: a retrospective study in a comprehensive cancer center"],"prefix":"10.1007","volume":"33","author":[{"given":"Caroline","family":"Poisson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anda","family":"Sampetrean","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Perrine","family":"Renard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita-Maria","family":"Khoury-Abboud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Scott\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Vigouret-Viant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baptiste","family":"Bonnet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lambros","family":"Tselikas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Deschamps","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Mateus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,24]]},"reference":[{"issue":"25","key":"9551_CR1","doi-asserted-by":"publisher","first-page":"1827","DOI":"10.1056\/NEJM199406233302514","volume":"330","author":"BA Runyon","year":"1994","unstructured":"Runyon BA (1994) Care of Patients with Ascites. 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