Cephalic Vein Cut-down for Totally Implantable Central Venous Access Devices With Preoperative Ultrasonography by Surgical Residents
Autor: | Isao Sano, Takayuki Nakazaki, Ryota Otsubo, Hideki Taniguchi, Masahiro Adachi, Ken-ichiro Shibata, Shintaro Hashimoto, Ryoichiro Doi, Yoshihito Shibata, Takeshi Nagayasu |
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Rok vydání: | 2019 |
Předmět: |
Male
Catheterization Central Venous Cancer Research medicine.medical_specialty Subclavian Vein General Biochemistry Genetics and Molecular Biology Group B 03 medical and health sciences 0302 clinical medicine medicine Humans Operation time Aged Ultrasonography Pharmacology Cephalic vein business.industry Internship and Residency Middle Aged Surgery Venous access Surgery Computer-Assisted 030220 oncology & carcinogenesis Female Surgical education Jugular Veins business Research Article |
Zdroj: | In Vivo. 33:2079-2085 |
ISSN: | 1791-7549 0258-851X |
DOI: | 10.21873/invivo.11707 |
Popis: | Background/aim Cephalic vein (CV) cut-down for totally implantable central venous access devices (TICVADs) is not frequently used due to its low success rate. We compared the outcomes of CV cut-down using preoperative ultrasonography (US) performed by experienced surgeons versus surgical residents. Patients and methods From December 2015 to December 2017, 10 surgeons implanted 212 TICVADs using CV cut-down with preoperative US. The surgeons were divided into two groups of five each: surgical residents (Group A, n=124 procedures) and experienced surgeons (Group B, n=88 procedures). Duration of operation time, completion rate, and complications were retrospectively analyzed. Results The completion rate was significantly higher in Group A (98.4% versus 92.0%, p=0.04). Duration of operation time (45.2±14.5 versus 42.0±13.1 minutes, p=0.22), rates of early complications (1.6% versus 1.1%, p=0.77) and late complications (3.2% versus 2.3%, p=0.68) were equivalent between the two groups. No fatal complications occurred in either group. Conclusion CV cut-down can be safely performed by surgical residents under the use of preoperative US. |
Databáze: | OpenAIRE |
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