Current Thoracic Surgery 2018 , Vol 3 , Issue 3
Comparison of the outcomes of the implanted subcutaneous ports in cancer patients: six-years single center experience
Ali Cevat Kutluk1,Hasan Akın1
1Department of Thoracic Surgery, Yedikule Chest Disease and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey DOI : 10.26663/cts.2019.00023 Viewed : 2905 - Downloaded : 172 Background: The preferred site of venous access ranges from deep veins (internal jugular or subclavian veins) to superficial veins (external jugular, anterior jugular, and upper limb veins). The aim of the study is to evaluate experience of single surgeon and compare the outcomes of the subclavian (SCV), internal jugular (IJV), and external jugular (EJV) veins in terms of procedure time and complications retrospectively.

Materials and Methods: The study included 327 patients who had port placement between 2012 and 2018. The mean age of all cases was 55.67 years, and the patients were divided into 3 groups according to venous sites; subclavian (SCV), internal jugular (IJV), and external jugular veins (EJV). Only local anesthesia was given and no antibiotic prophylaxis was provided before the intervention. The 3 groups were compared regarding age, sex, primary tumor site, procedure time, and complications.

Results: The procedure was significantly longer in the SCV group than the other 2 (43.35 min vs 34.58 and 33.71 min). Removal of the catheter was less common in the IJV group than the other 2 groups. Overall complications in the IJV group were lower than the other 2 groups, especially catheter malposition and pneumothorax rates were lower in the IJV group.

Conclusions: In light of the findings of the study implantable port placement via internal jugular vein is safe and had lower complication rates than either the subclavian or external jugular veins. Keywords : cancer, chemotherapy, implantable venous port