An analysis of the outcomes of totally implantable access port implantation performed by surgical residentsAn analysis of the outcomes of totally implantable access port implantation performed by surgical residents
- Other Titles
- An analysis of the outcomes of totally implantable access port implantation performed by surgical residents
- Authors
- Se-Beom Jeon; Youngbae Jeon; Kyoung-Won Han; Yong-Soon Chun; Jeong-Heum Baek
- Issue Date
- Jun-2021
- Publisher
- 대한종양외과학회
- Keywords
- Totally implantable access ports; Resident; Complication; Risk factor
- Citation
- 대한종양외과학회지, v.17, no.1, pp.15 - 22
- Journal Title
- 대한종양외과학회지
- Volume
- 17
- Number
- 1
- Start Page
- 15
- End Page
- 22
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/81669
- ISSN
- 1738-8082
- Abstract
- 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 three groups: 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.
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