Implantable ports in oncology

Abstract

The paper analyze the method used by us in insertion of implantable ports for chemotherapy (port-a- cat/PAC) and to evaluate intra and postoperative complications. The authors conducted a prospective study in which we included patients operated at the Fifth Surgical Clinic of the Municipal Hospital Cluj-Napoca. Implantable chambers was installed in all cases, by ecoguided puncturing the internal jugular vein. Of the 250 patients included in the study, 97 patients (38.8%) had breast cancer, 26 (10.4%) lung cancer, 25 (10%) colorectal cancer, 22 patients (8.8%) neoplasms in ENT. Patients were aged between 19 and 74 years. 58% of patients were stage IV. The main intraoperative complications were incorrect puncturing/introduction of the catheter. Among postoperative complications were internal jugular vein thrombosis (1.2%), abscesses at the site of implantation (1.6%), extravasation of the port (2%). The method of insertion of implantable chamber through internal jugular vein, used by us, has very good results, the number of intra and postoperative complications is minimal, also avoiding catheter breakage, hemothorax and pneumothorax.