Chemoport-associated Complications and Its Management
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ORIGINAL ARTICLE
Chemoport-associated Complications and Its Management Kumar M. Vinchurkar 1,2 & Preeti Maste 3 & Manoj D. Togale 4 & Vishwanath M. Pattanshetti 4 Received: 27 January 2020 / Accepted: 1 April 2020 # Indian Association of Surgical Oncology 2020
Abstract Chemoport is being routinely used to administer chemotherapy, blood, blood products, total parenteral nutrition, and also to draw blood for investigations. We started using chemoport in our institute. We use it exclusively to administer chemotherapy. We analyzed our results of chemoport usage and confirm that the rate of complications associated with chemoport usage is at par with the available literature. We also conclude that with regular use, the intra-op and post-op complications will reduce further. Keywords Chemoport . Complications . Wound dehiscence . Infection . Blockage
Introduction
Aims and Objectives
With the continued research in medical oncology, many cancer patients are receiving multiple lines of chemotherapy. Intravenous access is a major issue for these patients. The totally implantable devices were introduced in 1980s [1]. Since then, chemoport insertion is commonly used to gain vascular access for these patients. It can be used to administer intravenous fluids, blood, blood products, parenteral nutrition, and to draw blood for investigations. Chemoport use is associated with complications. We analyzed our cases of chemoport-associated complications and discuss management of complications.
The aim of our study was to determine the complications associated with the use of chemoport and management of the complications.
* Kumar M. Vinchurkar [email protected] Preeti Maste [email protected] Manoj D. Togale [email protected] Vishwanath M. Pattanshetti [email protected] 1
Department of Surgical Oncology, JNMC KAHER, Belagavi, India
2
KLES Dr Prabhakar Kore Hospital & MRC, Belagavi, India
3
Department of Microbiology, KLES Dr Prabhakar Kore Hospital & MRC, Belagavi, India
4
Department of General Surgery, JNMC KAHER, Belagavi, India
Materials and Methods We studied the patients in our hospital who underwent chemoport insertion from May 2012 till November 2018. The study group comprised of 98 patients who underwent chemoport insertion. Of these, 78 cases received chemotherapy for breast cancer, 12 patients had carcinoma ovary, 4 cases had colorectal cancer, 2 patients had carcinoma stomach, one patient had periampullary adenocarcinoma, and one patient had leukemia. The chemoport insertion procedure was performed under general anesthesia in all cases. In all cases, we gained venous access through internal jugular vein. In 15 cases, we accessed the left internal jugular vein as they had undergone modified radical mastectomy on right side (Fig. 1). The reservoir was placed beneath the skin on the pectoral region, and catheter was tunneled through the subcutaneous plane into the internal jugular vein. The tip of the catheter was placed at the junction of superior vena cava and right atrium. We routinely use Carm
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