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A simple method to accurately position Port‐A‐Cath without the aid of intraoperative fluoroscopy or other localizing devices
Author(s) -
Horng HuannCheng,
Yuan ChiouChung,
Chao KuanChong,
Cheng MingHuei,
Wang PengHui
Publication year - 2007
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20754
Subject(s) - medicine , fluoroscopy , surgery , catheter , port (circuit theory) , radiation exposure , superior vena cava , nuclear medicine , radiology , electrical engineering , engineering
Background To evaluate the efficacy and acceptability of the Port‐A‐Cath (PAC) insertion method with (conventional group as II) and without (modified group as I) the aid of intraoperative fluoroscopy or other localizing devices. Methods A total of 158 women with various kinds of gynecological cancers warranting PAC insertion (n = 86 in group I and n = 72 in group II, respectively) were evaluated. Data for analyses included patient age, main disease, dislocation site, surgical time, complications, and catheter outcome. Results There was no statistical difference between the two groups in terms of age, main disease, complications, and the experiencing of patent catheters. However, appropriate positioning (100% in group I, and 82% in group II) in the superior vena cava (SVC) showed statistical differences between the two groups ( P = 0.001). In addition, the surgical time in group I was statistically shorter than that in group II ( P < 0.001). Conclusions The modified method for inserting the PAC offered the following benefits: including avoiding X‐ray exposure for both the operator and the patient, defining the appropriate position in the SVC, and less surgical time. J. Surg. Oncol. 2007;95:582–586. © 2007 Wiley‐Liss, Inc.