Authors: Joel WoodleyCook Emidio Tarulli Kong T Tan Dheeraj K Rajan Martin E Simons
Publish Date: 2016/07/27
Volume: 39, Issue: 11, Pages: 1629-1635
Abstract
Placement of peritoneal ports has become a favorable technique for direct chemotherapy infusion in treating peritoneal metastases from ovarian cancer We aim to outline an approach to the percutaneous insertion of peritoneal ports and to characterize success and complication rates compared to surgically inserted portsRetrospective analysis was collected from 87 patients who had peritoneal port insertion 28 inserted surgically and 59 percutaneously for treatment of peritoneal metastases from ovarian cancer from July 2004 to July 2014 Complications were classified according to the SIR Clinical Practice Guidelines as major or minorTechnical success rates for surgically and percutaneously inserted ports were 100 and 967 respectively p = 044 with the two percutaneous failures successful at a later date There were no major complications in either group Minor complication rates for surgically versus percutaneously inserted ports were 464 versus 220 respectively p = 002 The infection rate for surgically inserted versus percutaneously inserted ports was 143 and 0 respectively p = 0002 The relative risk of developing a complication from percutaneous peritoneal port insertion without ascites was 34 p = 004 For percutaneously inserted ports the mean inroom procedure time was 81 ± 13 min and mean fluoroscopy time was 50 ± 45 min
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