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impact of central venous port implantation method and access choice on outcomes

World Journal of Clinical Cases 2023年第1期11卷 116-126页

作者： Ayhan Erdemir Huseyin Kemal Rasa Department of General Surgery Anadolu Medical CenterKocaeli 41400Turkey Department of General Surgery Anadolu Medical Center HospitalKocaeli 41400Turkey

BACKGROUND Although the number of patients who need central venous ports for permanent vascular access is increasing,there is still no“gold standard”for the implantation *** To identify the implantation technique that should be *** Two hundred central venous port-implanted patients in a tertiary hospital were retrospectively *** were assigned into two groups according to the access *** first group comprised patients whose jugular veins were used,and the second group comprised patients whose subclavian veins were *** were evaluated regarding age,sex,application side,primary diagnosis,active follow-up period in the hospital,chemotherapy agents administered,number of complications,and the Clavien-Dindo severity *** distribution of the variables was tested with the Kolmogorov-Smirnov test and the Mann-Whitney U ***χ^(2) test was used to analyze the *** There was no statistically significant difference between the groups regarding age,sex,side,number of chemotherapy drugs,and duration of port usage(P>0.05).Only 2 patients in group 1 had complications,whereas in group 2 we observed 19 patients with complications(Pimplantation,and four suture line problems were also recorded in group 2 *** also showed that it would be sufficient to evaluate and wash ports once every 2 *** Our results robustly confirm that the jugular vein route is safer than the subclavian vein approach for central venous port implantation.

关键词： Permanent vascular access Central venous ports Central venous port implantation methods Jugular vein route Subclavian vein approach impact of implantation method on outcomes

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