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Chemoport Insertion-Less Is More.

Tanay Shah¹, D G Vijay¹, Niket Shah¹

¹HCG Cancer Hospital, Ahmedabad, India.

Indian Journal of Surgical Oncology

|April 5, 2021

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This study shows that implantable chemoports can be safely inserted without image guidance in resource-poor settings, with low complication rates for long-term venous access in cancer patients.

Area of Science:

Medical Devices
Surgical Procedures
Oncology

Background:

Implantable chemoports are crucial for long-term venous access in cancer therapy.
Few studies report chemoport complications in resource-limited countries.
This study evaluates a simplified insertion technique.

Purpose of the Study:

To assess the feasibility of chemoport insertion without image guidance using a closed technique.
To identify and analyze complications associated with this procedure in a resource-poor setting.

Main Methods:

Prospective observational study of 263 patients undergoing chemoport insertion.
Analysis of medical records for patient demographics, diagnosis, and port-related complications.
Procedure performed without direct visualization of major veins, primarily internal jugular vein.

Keywords:

Chemoport IJV Without image guidance

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Main Results:

No major intra-operative complications occurred in 263 patients.
Overall complication rate was low: 1.52% catheter malposition, 1.52% internal jugular vein thrombosis, 0.38% right atrial thrombus, and 0.74% port site infections.
Most complications were managed conservatively or with minor interventions under local anesthesia.

Conclusions:

Chemoport insertion without image guidance and direct visualization is feasible and safe in resource-poor settings.
The technique demonstrated low complication rates, supporting its use for long-term venous access in cancer patients.
Optimizing the procedure with aseptic techniques and experienced surgeons can further minimize risks.