Santral Venöz Port İmplantasyonunda Sefalik ‘cut-down’ Yöntemi

Authors : Ahmet DEMİRKAYA

Pages : 118-122

View : 42 | Download : 16

Publication Date : 2017-06-01

Article Type : Research Paper

Abstract :Purpose: This study aimed to evaluate the postoperative outcomes of central venous port implantation using the cephalic ‘cut-down’ technique.Methods: This study was conducted between March 2014 and March 2017. The study population consisted of patients who underwent venous port implantation using the cephalic ‘cut-down’ technique at the Department of Thoracic Surgery, Acibadem University, Atakent Hospital. Underlying pathology, operative technique and time, and perioperative complications were analyzed. Results: This study included 263 patients male = 137, female = 126, mean age = 51 years, range: 18-89 years . Of these, 250 patients underwent venous port implantation via the cephalic ‘cut-down’ technique success rate: 95% . In the remaining 13 patients, the procedure was completed percutaneously due to the small caliber of the vein or thrombophelebitis. The mean operative time of the 250 patients was 33 mi. range, 22-65 min . The most common primary disease was colon cancer 34% . None of the patients undergoing the cephalic ‘cut-down’ technique had any intraoperative complications. One patient undergoing the percutaneous technique had pneumothorax. During postoperative follow-up, three patients 1.4% underwent bleeding control procedure due to port-side bleeding.Conclusion: Venous port implantation using the cephalic ‘cut-down’ technique is a safe, feasible procedure with a low complication rate. The rarity of its potential life-threatening complications such as pneumothorax, hemothorax and great vessel injury is an important advantage of this procedure. Therefore, It has become a preferred procedure by patients as well as health care providers
Keywords : central venous catheter, cephalic vein, cut down, port implantation