The Safety Level of Total Central Venous Access Port Implantation Performed by Residents

Schreckenbach, Teresa; Münch, Indra; Youzouri, Hanan El; Bechstein, Wolf O.; Habbe, Nils

doi:10.1016/j.jsurg.2018.07.005

Cited by 12 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With early complications Without early complications time of the resident group was 33-46 minutes [6,7]. The total operation time in our study was 34.1 ± 10.5 minutes, which is comparable to the results of other previously published studies.…”

Section: Early Complicationsupporting

confidence: 88%

An analysis of the outcomes of totally implantable access port implantation performed by surgical residents

Jeon

Han

et al. 2021

Korean J Clin Oncol

View full text Add to dashboard Cite

Purpose: This study aimed to investigate the clinical outcomes after totally implantable access port (TIAP) implantation performed by general surgery residents in patients with colorectal cancer.Methods: A total of 291 consecutive patients who underwent TIAP implantations were evaluated. The patients were divided into threegroups: second-, third-, and fourth-grade residents.Results: The mean follow-up was 22.1 months (range, 1–87 months). The total times of operation, puncture, and cannulation decreased as the resident grade increased (P<0.001). Early complications significantly decreased with higher resident grades (P=0.039). The non-use of ultrasonography and non-use of C-arm were identified as independent risk factors for complications. Resident grades between second and third (P=0.005) and between second and fourth (P=0.041) were identified as independent risk factors for optimal tip position.Conclusion: TIAP implantation can be safely and effectively performed by residents. Low-grade residents were associated with early complications.

show abstract

Section: Early Complicationsupporting

confidence: 88%

An analysis of the outcomes of totally implantable access port implantation performed by surgical residents

Jeon

Han

et al. 2021

Korean J Clin Oncol

View full text Add to dashboard Cite

show abstract

“…A previous retrospective study showed that TICVAD implantation, mainly attempted by the CV cut-down procedure, performed by residents alone or with help of a senior resident or an attending surgeon was safe with respect in vivo 33: 2079-2085 (2019) 2082 to major complications, but it required a longer operating time (14). In that study, 147 of 760 cases (19.3%) required a secondary SV puncture approach.…”

Section: Discussionmentioning

confidence: 90%

Cephalic Vein Cut-down for Totally Implantable Central Venous Access Devices With Preoperative Ultrasonography by Surgical Residents

Hashimoto

Otsubo

Adachi

et al. 2019

In Vivo

View full text Add to dashboard Cite

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 cutdown can be safely performed by surgical residents under the use of preoperative US. Patients and Methods This retrospective study was approved by the institutional review board of our hospital, and the requirement for informed consent was waived. The ethics approval number was 537.

show abstract

“…However, percutaneous US-guided IJV puncture may be a safe alternative approach to SV puncture because it was reported to have a lower risk of major mechanical complications than SV puncture in a recent meta-analysis (22). Regarding surgical education of TIVAD insertion, a cut-down manoeuvre of the cephalic vein for TIVAD insertion by SRs was reported to be associated with similar complication rates to that performed by ESs (11,12). As far as we are aware, there have been no reports of surgical education using percutaneous TIVAD insertion.…”

Section: Discussionmentioning

confidence: 99%

“…TIVAD insertion, which comprises basic surgical techniques, has been considered beneficial for the education of surgical residents (SRs). Few studies have examined the safety of TIVAD insertion focused on the cut-down manoeuvre by SRs (11,12). However, to the best of our knowledge, there have been no studies assessing the safety of a percutaneous approach for SRs performing TIVAD insertions.…”

mentioning

confidence: 99%

Safety of Insertion of Percutaneous Totally Implantable Central Venous Access Devices by Surgical Residents

Obuchi

Imaizumi

Kasajima

et al. 2022

In Vivo

View full text Add to dashboard Cite

Background/Aim: To compare the outcomes of totally implantable central venous access device (TIVAD) insertions by surgical residents (SRs) with those by experienced surgeons (ESs) and establish the safety of percutaneous TIVAD insertion by SRs. Patients and Methods: A total of 700 insertions were successfully performed between January 2015 and December 2019 in our Department. The puncture site conversion and complication rates were compared, and risk factors related to complications were analysed. Results: In total, 84 and 616 insertions were performed in the SR and ES groups, respectively. SRs mainly punctured the internal jugular vein (IJV), and ESs punctured the subclavian vein (SV). The conversion rate from the IJV to SV was similar, whereas that from the SV to IJV was higher by SRs than ESs. Overall, early, and delayed complications were similar between the two groups. Conclusion: Percutaneous TIVAD inserted into the IJV by an SR was demonstrated to be safe.

show abstract

The Safety Level of Total Central Venous Access Port Implantation Performed by Residents

Cited by 12 publications

References 17 publications

An analysis of the outcomes of totally implantable access port implantation performed by surgical residents

An analysis of the outcomes of totally implantable access port implantation performed by surgical residents

Cephalic Vein Cut-down for Totally Implantable Central Venous Access Devices With Preoperative Ultrasonography by Surgical Residents

Safety of Insertion of Percutaneous Totally Implantable Central Venous Access Devices by Surgical Residents

Contact Info

Product

Resources

About