RT Journal Article
SR Electronic
T1 Comparison of Central Venous Port Procedures Between Puncture <em>vs</em>. Cut-down and Residents <em>vs</em>. Senior Surgeons
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 1197
OP 1204
DO 10.21873/invivo.12369
VO 35
IS 2
A1 OTSUBO, RYOTA
A1 YANO, HIROSHI
A1 MATSUMOTO, MEGUMI
A1 TANAKA, AYA
A1 NONAKA, TAKASHI
A1 HIDAKA, SHIGEKAZU
A1 MATSUMOTO, KEITARO
A1 TSUCHIYA, TOMOSHI
A1 SATO, SHUNTARO
A1 NAGAYASU, TAKESHI
YR 2021
UL http://iv.iiarjournals.org/content/35/2/1197.abstract
AB 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.