A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer
Abstract Background A totally implanted venous access port (TIVAP) in the upper arm is a safe and cost-effective vascular access device and is widely used in breast cancer patients. Traditional tunnelling technique increases the operation time and has an unsatisfied cosmetic effect, so we explored t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-023-03043-4 |
| _version_ | 1797817984679411712 |
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| author | Xue Song Shengying Chen Yan Dai Yang Sun Xiaojie Lin Jiafa He Rui Xu |
| author_facet | Xue Song Shengying Chen Yan Dai Yang Sun Xiaojie Lin Jiafa He Rui Xu |
| author_sort | Xue Song |
| collection | DOAJ |
| description | Abstract Background A totally implanted venous access port (TIVAP) in the upper arm is a safe and cost-effective vascular access device and is widely used in breast cancer patients. Traditional tunnelling technique increases the operation time and has an unsatisfied cosmetic effect, so we explored the feasibility, cosmetic effect and complications of an upper arm port with a novel incision in this retrospective study. Methods We reviewed 489 cases of totally implantable venous access port implantation in the upper arm with two types of incisions in our centre from 1 January 2018 to 30 January 2022. The patients were divided into two different incision groups including the puncture site incision group (n = 282) and the conventional tunnelling group (n = 207). The comparison of the results was collected between the two groups, and contributing factors were analyzed for major complications. Results A total of 489 patients were successfully implanted with arm ports using the puncture site incision technique (n = 282, 57.7%) and conventional tunnelling technique (n = 207, 42.3%). The average operation time of the two types of incisions was 36.5 ± 15 min in the puncture site incision group and 55 ± 18.1 min in the tunnel needle group (P < 0.05). In terms of complications, 33 catheter-related complications occurred (6.4%), including 9 cases of infection, 15 cases of catheter-related thrombosis and 7 cases of skin exposure. Fourteen patients in the puncture site incision group developed complications compared with 17 in the traditional incision group. There were no significant differences between the two groups in terms of overall complication events (5.0% and 8.2%, P = 0.145) while the same result was found in each complication event. Weight, total cholesterol and diabetes were found to be associated with device-related infections in the univariate Cox proportional hazard regression models. Diabetes was found to be associated with device-related infections in multivariate analysis while hypertension was associated with thrombosis. Conclusions The puncture site incision method is a novel technique with a better cosmetic appearance and less operation time than the traditional tunnelling technique, providing a comparable overall rate of complications. It offers a preferable choice for clinicians when dealing with different situations of patients. It is worthy of being used and promoted for patients requiring the totally implanted venous access port in the upper arm. |
| first_indexed | 2024-03-13T09:01:35Z |
| format | Article |
| id | doaj.art-63598dce7c6e46c6a43fd8aff56f3615 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-03-13T09:01:35Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-63598dce7c6e46c6a43fd8aff56f36152023-05-28T11:18:36ZengBMCWorld Journal of Surgical Oncology1477-78192023-05-0121111010.1186/s12957-023-03043-4A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancerXue Song0Shengying Chen1Yan Dai2Yang Sun3Xiaojie Lin4Jiafa He5Rui Xu6Breast department, Guangdong Provincial Hospital Of Chinese MedicineBreast department, Guangdong Provincial Hospital Of Chinese MedicineBreast department, Guangdong Provincial Hospital Of Chinese MedicineBreast department, Guangdong Provincial Hospital Of Chinese MedicineBreast department, Guangdong Provincial Hospital Of Chinese MedicineBreast department, Guangdong Provincial Hospital Of Chinese MedicineBreast department, Guangdong Provincial Hospital Of Chinese MedicineAbstract Background A totally implanted venous access port (TIVAP) in the upper arm is a safe and cost-effective vascular access device and is widely used in breast cancer patients. Traditional tunnelling technique increases the operation time and has an unsatisfied cosmetic effect, so we explored the feasibility, cosmetic effect and complications of an upper arm port with a novel incision in this retrospective study. Methods We reviewed 489 cases of totally implantable venous access port implantation in the upper arm with two types of incisions in our centre from 1 January 2018 to 30 January 2022. The patients were divided into two different incision groups including the puncture site incision group (n = 282) and the conventional tunnelling group (n = 207). The comparison of the results was collected between the two groups, and contributing factors were analyzed for major complications. Results A total of 489 patients were successfully implanted with arm ports using the puncture site incision technique (n = 282, 57.7%) and conventional tunnelling technique (n = 207, 42.3%). The average operation time of the two types of incisions was 36.5 ± 15 min in the puncture site incision group and 55 ± 18.1 min in the tunnel needle group (P < 0.05). In terms of complications, 33 catheter-related complications occurred (6.4%), including 9 cases of infection, 15 cases of catheter-related thrombosis and 7 cases of skin exposure. Fourteen patients in the puncture site incision group developed complications compared with 17 in the traditional incision group. There were no significant differences between the two groups in terms of overall complication events (5.0% and 8.2%, P = 0.145) while the same result was found in each complication event. Weight, total cholesterol and diabetes were found to be associated with device-related infections in the univariate Cox proportional hazard regression models. Diabetes was found to be associated with device-related infections in multivariate analysis while hypertension was associated with thrombosis. Conclusions The puncture site incision method is a novel technique with a better cosmetic appearance and less operation time than the traditional tunnelling technique, providing a comparable overall rate of complications. It offers a preferable choice for clinicians when dealing with different situations of patients. It is worthy of being used and promoted for patients requiring the totally implanted venous access port in the upper arm.https://doi.org/10.1186/s12957-023-03043-4IncisionTotally implantable venous access portsBreast cancer |
| spellingShingle | Xue Song Shengying Chen Yan Dai Yang Sun Xiaojie Lin Jiafa He Rui Xu A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer World Journal of Surgical Oncology Incision Totally implantable venous access ports Breast cancer |
| title | A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer |
| title_full | A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer |
| title_fullStr | A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer |
| title_full_unstemmed | A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer |
| title_short | A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer |
| title_sort | novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer |
| topic | Incision Totally implantable venous access ports Breast cancer |
| url | https://doi.org/10.1186/s12957-023-03043-4 |
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