Analysis of totally implantable venous access with modified fast track technique

DEŞER, SERKAN BURÇ; Demirag, Mustafa Kemal

Analysis of totally implantable venous access with modified fast track technique

Serkan Burç DEŞER, (Department of Cardiovascular Surgery, School of Medicine, Ondokuz Mayıs University, Samsun, Turkey)

Mustafa Kemal DEMİRAĞ (Department of Cardiovascular Surgery, School of Medicine, Ondokuz Mayıs University, Samsun, Turkey)

Damar Cerrahi Dergisi

3 0

Yıl: 2017 Cilt: 26 Sayı: 2 Sayfa Aralığı: 39 - 44 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Analysis of totally implantable venous access with modified fast track technique

Öz:

Amaç: Bu çalışmada tamamen implante edilebilir venöz erişim için cut-down modelini modifiye ederek hızlandırılmış tekniğe ilişkin deneyimlerimiz sunuldu.Hastalar ve Yöntemler: Haziran 2013 - Aralık 2016 tarihleri arasında venöz port yerleştirilen toplam 70 hasta (33 erkek, 37 kadın; ort. yaş 67.7±9.8 yıl; dağılım, 21-86 yaş) retrospektif olarak incelendi. Hastalar tamamen implante edilebilir venöz erişim portu (TIVAP) tekniğine göre değerlendirildi ve sınıflandırıldı. Hastaların tümü ameliyat süresi, erken ve geç komplikasyonlar ve primer başarı oranı açısından değerlendirildi ve tamamen TIVAP tekniğine göre sınıflandırıldı.Bulgular: TIVAP implantasyonunun birincil başarı oranı, hızlı sefalik cut-down tekniği için %91 (64/70) ve Seldinger tekniği için %100 (6/6) idi. İşlemlere ilişkin işlem sırası majör bir komplikasyon görülmedi. Cerrahi işlemin sefalik cut-down tekniği için ortalama süresi 14 dk. (dağılım, 10-22 dk.), perkütan Seldinger tekniği için 32 dk. (dağılım, 25-50 dk.) idi.Sonuç: Çalışma sonuçlarımız perkütan Seldinger tekniğinin TIVAP implantasyon süresini uzattığını ve bu nedenle hızlı sefalik cut-down tekniği ile yapılan TIVAP implantasyonunun işlem süresini kısalttığını ve pnömotoraks gibi ciddi komplikasyon oranlarını azalttığını göstermektedir

Anahtar Kelime:

Konular: Cerrahi

Modifiye hızlandırılmış teknik ile tamamen implante edilebilir venöz erişim analizi

Öz:

Objectives: In this study, we present our experience with fast track technique modifying the cut-down model for totally implantable venous access.Patients and methods: Between June 2013 and December 2016, a total of 70 patients (33 males, 37 females; mean age 67.7±9.8 years, range 21 to 86 years) in whom a venous port was implanted were retrospectively analyzed. All patients were evaluated in terms of surgery time, early and late complications, and primary success rate and classified on the basis of totally implantable venous access port (TIVAP) technique.Results: The primary success rate of fast-track TIVAP implantation was 91% (64/70) for the cephalic cut-down technique and 100% (6/6) for the Seldinger technique. No major intraoperative complications related to the procedures were seen. The mean duration of the surgical procedure for the cephalic cut-down technique was 14 min (range, 10 to 22 min) and 32 min (range, 25 to 50 min) for the percutaneous Seldinger technique.Conclusion: Our study results show that percutaneous Seldinger technique extends the time of TIVAP implantation and, therefore, TIVAP implantation with fast cephalic cut-down technique reduces both the duration of the procedure and serious complication rates such as pneumothorax

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	DEŞER S, Demirag M (2017). Analysis of totally implantable venous access with modified fast track technique. , 39 - 44.
Chicago	DEŞER SERKAN BURÇ,Demirag Mustafa Kemal Analysis of totally implantable venous access with modified fast track technique. (2017): 39 - 44.
MLA	DEŞER SERKAN BURÇ,Demirag Mustafa Kemal Analysis of totally implantable venous access with modified fast track technique. , 2017, ss.39 - 44.
AMA	DEŞER S,Demirag M Analysis of totally implantable venous access with modified fast track technique. . 2017; 39 - 44.
Vancouver	DEŞER S,Demirag M Analysis of totally implantable venous access with modified fast track technique. . 2017; 39 - 44.
IEEE	DEŞER S,Demirag M "Analysis of totally implantable venous access with modified fast track technique." , ss.39 - 44, 2017.
ISNAD	DEŞER, SERKAN BURÇ - Demirag, Mustafa Kemal. "Analysis of totally implantable venous access with modified fast track technique". (2017), 39-44.

APA	DEŞER S, Demirag M (2017). Analysis of totally implantable venous access with modified fast track technique. Damar Cerrahi Dergisi, 26(2), 39 - 44.
Chicago	DEŞER SERKAN BURÇ,Demirag Mustafa Kemal Analysis of totally implantable venous access with modified fast track technique. Damar Cerrahi Dergisi 26, no.2 (2017): 39 - 44.
MLA	DEŞER SERKAN BURÇ,Demirag Mustafa Kemal Analysis of totally implantable venous access with modified fast track technique. Damar Cerrahi Dergisi, vol.26, no.2, 2017, ss.39 - 44.
AMA	DEŞER S,Demirag M Analysis of totally implantable venous access with modified fast track technique. Damar Cerrahi Dergisi. 2017; 26(2): 39 - 44.
Vancouver	DEŞER S,Demirag M Analysis of totally implantable venous access with modified fast track technique. Damar Cerrahi Dergisi. 2017; 26(2): 39 - 44.
IEEE	DEŞER S,Demirag M "Analysis of totally implantable venous access with modified fast track technique." Damar Cerrahi Dergisi, 26, ss.39 - 44, 2017.
ISNAD	DEŞER, SERKAN BURÇ - Demirag, Mustafa Kemal. "Analysis of totally implantable venous access with modified fast track technique". Damar Cerrahi Dergisi 26/2 (2017), 39-44.