Siau et al question the recommended landmarks for performing large volume paracentesis (LVP) ‘at least 8 cm (laterally) from the midline and 5 cm above the symphysis (pubis)’.1 In their view, while this approach avoids puncturing vessels, there remains risk of injury to underlying solid organs.2 Our aim was to provide evidence-based guidance (https://blogs.bmj.com/gut/) where possible on the safest areas for performing therapeutic paracentesis.3 In fact, after systematically reviewing available evidence, our conclusion is that our recommended landmarks are appropriate.1 The most common (though still rare) complication overall after LVP remains bleeding (0%–2.7%) rather than …

中文翻译：

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大容量腹腔穿刺术：做或在哪里做？

Siau 等人质疑进行大体积穿刺术 (LVP) 的推荐标志“距中线至少 8 厘米（横向）和联合（耻骨）上方 5 厘米”。他们认为，虽然这种方法避免了穿刺血管，但存在仍然存在对潜在实体器官造成伤害的风险。2 我们的目标是在可能的情况下提供基于证据的指导 (https://blogs.bmj.com/gut/)，在最安全的区域进行治疗性腹腔穿刺术 3。事实上，经过系统性的回顾现有证据，我们的结论是我们推荐的地标是适当的。1 LVP 后总体上最常见（尽管仍然罕见）的并发症仍然是出血 (0%–2.7%)，而不是……