Comparison of Central Venous Port Procedures Between Puncture vs. Cut-down and Residents vs. Senior Surgeons

被引：1

作者：

Otsubo, Ryota ^{[1
]}

Yano, Hiroshi ^{[1
]}

Matsumoto, Megumi ^{[1
]}

Tanaka, Aya ^{[1
]}

Nonaka, Takashi ^{[1
]}

Hidaka, Shigekazu ^{[1
]}

Matsumoto, Keitaro ^{[1
]}

Tsuchiya, Tomoshi ^{[1
]}

Sato, Shuntaro ^{[2
]}

Nagayasu, Takeshi ^{[1
]}

机构：

[1] Nagasaki Univ, Dept Surg Oncol, Grad Sch Biomed Sci, 1-7-1 Sakamoto, Nagasaki 8528501, Japan

[2] Nagasaki Univ Hosp, Clin Res Ctr, Nagasaki, Japan

来源：

IN VIVO | 2021年 / 35卷 / 02期

关键词：

Punctures; venous cutdown; implantable catheters; residency; education; ACCESS DEVICES; VEIN PUNCTURE; COMPLICATIONS; INSERTION; SYSTEMS;

D O I：

10.21873/invivo.12369

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

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 realtime ultrasonography did not avoid complications compared to CD with preoperative ultrasonography. The latter performed safely even by residents.

引用

页码：1197 / 1204

页数：8