Application of pocket-first technique for implantation of totally implantable venous access ports
Abstract Background While vascular puncture is always performed before making port pocket in the implantation of totally implantable venous access ports (TIVAP), some surgeons preferred to make port pocket first. This study seeks to verify the safety and feasibility for the pocket-first technique. M...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02404-4 |
| _version_ | 1797199674874003456 |
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| author | Jingjin Wu Li Zhang Xiaojian Jia Yunchuan Mu Yanbo Lou |
| author_facet | Jingjin Wu Li Zhang Xiaojian Jia Yunchuan Mu Yanbo Lou |
| author_sort | Jingjin Wu |
| collection | DOAJ |
| description | Abstract Background While vascular puncture is always performed before making port pocket in the implantation of totally implantable venous access ports (TIVAP), some surgeons preferred to make port pocket first. This study seeks to verify the safety and feasibility for the pocket-first technique. Methods The study retrospectively reviewed 447 patients who undergone TIVAP implantation from July 2017 to November 2022. All the patients were divided into two groups based on vascular puncture first or making port pocket first. The general information, operation information and post-operative complications were reviewed and analyzed. Results All the operations were performed successfully. No difference was observed in the sex, age, height, weight, BMI, port location and total complication rate between the two groups. The operation time of the Puncture Group and the Pocket Group were 46.9 ± 22.4 min and 33.8 ± 13.6 min ( P<0.00001 ). In the patients of SCV approach, the operation time between the two groups were 37.4 ± 14.8 min and 33.5 ± 10.9 min ( P<0.05 ). Multivariate analysis showed the variable BMI and first procedure were independent prognostic factors for operation time. In the cases using SCV/AxV approach the variable first procedure was the only independent prognostic factor for operation time (P = 0.002). Conclusions The pocket-first technique can be considered as a safe, feasible and convenient technique for TIVAP implantation. The time consuming is significantly shortened compared with the puncture-first technique and this advantage may be more obvious when using SCV/AxV approach. |
| first_indexed | 2024-04-24T07:19:31Z |
| format | Article |
| id | doaj.art-65827d4f83bb42d4a6728088c7f8a676 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-24T07:19:31Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-65827d4f83bb42d4a6728088c7f8a6762024-04-21T11:07:21ZengBMCBMC Surgery1471-24822024-04-012411810.1186/s12893-024-02404-4Application of pocket-first technique for implantation of totally implantable venous access portsJingjin Wu0Li Zhang1Xiaojian Jia2Yunchuan Mu3Yanbo Lou4General Surgery, The Fourth Affiliated Hospital, Zhejiang University School of MedicineNephrology, The Fourth Affiliated Hospital, Zhejiang University School of MedicineGeneral Surgery, The Fourth Affiliated Hospital, Zhejiang University School of MedicineGeneral Surgery, The Fourth Affiliated Hospital, Zhejiang University School of MedicineGeneral Surgery, The Fourth Affiliated Hospital, Zhejiang University School of MedicineAbstract Background While vascular puncture is always performed before making port pocket in the implantation of totally implantable venous access ports (TIVAP), some surgeons preferred to make port pocket first. This study seeks to verify the safety and feasibility for the pocket-first technique. Methods The study retrospectively reviewed 447 patients who undergone TIVAP implantation from July 2017 to November 2022. All the patients were divided into two groups based on vascular puncture first or making port pocket first. The general information, operation information and post-operative complications were reviewed and analyzed. Results All the operations were performed successfully. No difference was observed in the sex, age, height, weight, BMI, port location and total complication rate between the two groups. The operation time of the Puncture Group and the Pocket Group were 46.9 ± 22.4 min and 33.8 ± 13.6 min ( P<0.00001 ). In the patients of SCV approach, the operation time between the two groups were 37.4 ± 14.8 min and 33.5 ± 10.9 min ( P<0.05 ). Multivariate analysis showed the variable BMI and first procedure were independent prognostic factors for operation time. In the cases using SCV/AxV approach the variable first procedure was the only independent prognostic factor for operation time (P = 0.002). Conclusions The pocket-first technique can be considered as a safe, feasible and convenient technique for TIVAP implantation. The time consuming is significantly shortened compared with the puncture-first technique and this advantage may be more obvious when using SCV/AxV approach.https://doi.org/10.1186/s12893-024-02404-4TIVAPSurgeryPocketApplication |
| spellingShingle | Jingjin Wu Li Zhang Xiaojian Jia Yunchuan Mu Yanbo Lou Application of pocket-first technique for implantation of totally implantable venous access ports BMC Surgery TIVAP Surgery Application |
| title | Application of pocket-first technique for implantation of totally implantable venous access ports |
| title_full | Application of pocket-first technique for implantation of totally implantable venous access ports |
| title_fullStr | Application of pocket-first technique for implantation of totally implantable venous access ports |
| title_full_unstemmed | Application of pocket-first technique for implantation of totally implantable venous access ports |
| title_short | Application of pocket-first technique for implantation of totally implantable venous access ports |
| title_sort | application of pocket first technique for implantation of totally implantable venous access ports |
| topic | TIVAP Surgery Application |
| url | https://doi.org/10.1186/s12893-024-02404-4 |
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