%0 Journal Article %A RYOTA OTSUBO %A HIROSHI YANO %A MEGUMI MATSUMOTO %A AYA TANAKA %A TAKASHI NONAKA %A SHIGEKAZU HIDAKA %A KEITARO MATSUMOTO %A TOMOSHI TSUCHIYA %A SHUNTARO SATO %A TAKESHI NAGAYASU %T Comparison of Central Venous Port Procedures Between Puncture vs. Cut-down and Residents vs. Senior Surgeons %D 2021 %R 10.21873/invivo.12369 %J In Vivo %P 1197-1204 %V 35 %N 2 %X Background/Aim: To compare operative results between venous puncture (P) with real-time ultrasonography vs. cut-down (CD) with preoperative ultrasonography for totally implantable central vein access device (TICVAD) implantation performed by residents (R) vs. senior surgeons (S). Patients and Methods: Adult oncologic patients (n=268) undergoing TICVAD implantations were retrospectively compared between 172 Ps and 96 CDs. Then, we compared Ps performed by R (P-R, n=131) and S (P-S, n=41) and CDs performed by R (CD-R, n=59) and S (CD-S, n=37). Results: Median operation times were 40 min in the P group and 53.5 min in the CD group, and times were significantly shorter for P-S and CD-S. Completion rates were comparable for each method and each surgeon. Intraoperative complication rates were 3.8% (P-R), 2.4% (P-S), and 0% (CD-R and CD-S). Conclusion: P with real-time ultrasonography did not avoid complications compared to CD with preoperative ultrasonography. The latter performed safely even by residents. %U https://iv.iiarjournals.org/content/invivo/35/2/1197.full.pdf