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Related Experiment Video

Updated: Dec 6, 2025

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External Jugular Cutdown Technique for Totally Implantable Venous Access Devices: a Single-Centre Study.

Nikhil Mehta1, Sanjay M Desai1, Vinod Dhakad1

  • 1Department of surgical Onology, Sri Aurobindo Institute of Medical Sciences, Bhanwarsala, Indore, 453555 India.

Indian Journal of Surgical Oncology
|October 5, 2020
PubMed
Summary

The external jugular vein cutdown technique is a safe and effective method for implanting chemoports, essential for chemotherapy administration in cancer patients. This approach offers a high success rate with minimal complications.

Keywords:
ChemoportCutdownExternal jugular veinTIVAD

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Area of Science:

  • Oncology
  • Vascular Surgery
  • Medical Devices

Background:

  • Central venous access devices optimize chemotherapy administration.
  • Chemoport implantation is crucial for long-term cancer treatment.
  • The external jugular vein cutdown technique is explored for its efficacy.

Purpose of the Study:

  • To evaluate the safety and reliability of the external jugular vein cutdown technique for chemoport implantation.
  • To analyze outcomes including success rate, procedure time, and complications.
  • To assess the feasibility of this method for various malignancies.

Main Methods:

  • Prospective study of 100 patients undergoing chemoport insertion.
  • Utilized the external jugular vein cutdown technique for venous access.
  • Analyzed data on disease type, anesthesia, catheter tip position, procedure length, chemotherapy start time, and morbidity.

Main Results:

  • High overall success rate of 97% with no intraoperative complications.
  • Average surgical time was 32 minutes, with 80% of procedures under local anesthesia.
  • Three postoperative complications (catheter displacement, wound infection) were reported.

Conclusions:

  • The external jugular vein cutdown approach is a safe and reliable method for venous access device implantation.
  • This technique demonstrates a high success rate and minimal complications.
  • The procedure is easily learned and suitable for routine clinical practice.