Percutaneous insertion of peritoneal ports

Area of Science:

• Oncology
• Surgical Oncology
• Medical Imaging

Background:

• Stage III ovarian cancer often requires surgical debulking.
• Intraperitoneal chemotherapy is a treatment modality for ovarian cancer.
• Accurate port placement is crucial for effective intraperitoneal delivery.

Purpose of the Study:

• To describe a novel technique for image-guided percutaneous insertion of intraperitoneal ports.
• To evaluate the feasibility and safety of this technique in patients without ascites.
• To assess the complication rate associated with percutaneous port placement.

Main Methods:

• A total of 29 intraperitoneal ports were placed percutaneously in 29 patients.
• Patients had undergone surgical debulking for stage III ovarian cancer and lacked ascites.
• Ultrasound and fluoroscopy guidance were utilized for precise port insertion.

Main Results:

• The technical success rate for port placement was 100%.
• Ports remained functional for an average of 186 days.
• A low complication rate of 6.9% was observed, with two cases requiring intervention (catheter kinking and wound infection).

Conclusions:

• Percutaneous intraperitoneal port placement is a technically feasible procedure.
• The technique offers an acceptably low complication rate in selected ovarian cancer patients.
• This method facilitates effective intraperitoneal drug delivery in the absence of ascites.