- Insertion of Totally Implantable Central Venous Access Devices by Surgeons
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Hyeonjun An, Chun-Geun Ryu, Eun-Joo Jung, Hyun Jong Kang, Jin Hee Paik, Jung-Hyun Yang, Dae-Yong Hwang
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Ann Coloproctol. 2015;31(2):63-67. Published online April 30, 2015
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DOI: https://doi.org/10.3393/ac.2015.31.2.63
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The aim of this study is to evaluate the results for the insertion of totally implantable central venous access devices (TICVADs) by surgeons. MethodsTotal 397 patients, in whom TICVADs had been inserted for intravenous chemotherapy between September 2008 and June 2014, were pooled. This procedure was performed under local anesthesia in an operation room. The insertion site for the TICVAD was mainly in the right-side subclavian vein. In the case of breast cancer patients, the subclavian vein opposite the surgical site was used for insertion. ResultsThe 397 patients included 73 males and 324 females. Primary malignant tumors were mainly colorectal and breast cancer. The mean operation time was 54 minutes (18-276 minutes). Operation-related complications occurred in 33 cases (8.3%). Early complications developed in 15 cases with catheter malposition and puncture failure. Late complications, which developed after 24 hours, included inflammation in 6 cases, skin necrosis in 6 cases, hematoma in 3 cases, port malfunction in 1 case, port migration in 1 case, and intractable pain at the port site in 1 case. Conclusion Insertion of a TICVAD under local anesthesia by a surgeon is a relatively safe procedure. Meticulous undermining of the skin and carefully managing the TICVAD could minimize complications.
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Anas Erragh, Salma Bellaftouh, Safia Chaabi, Yassine Hafiani, Afak Nsiri, Rachid Alharrar memo - Magazine of European Medical Oncology.2025; 18(1): 56. CrossRef - Vascular access device type for systemic anti-cancer therapies in cancer patients: A scoping review
C. Duggan, O. Hernon, R. Dunne, V. McInerney, S.R. Walsh, A. Lowery, M. McCarthy, P.J. Carr Critical Reviews in Oncology/Hematology.2024; 196: 104277. CrossRef - Machine learning risk prediction model for bloodstream infections related to totally implantable venous access ports in patients with cancer
Fan Wang, Yanyi Zhu, Lijuan Wang, Caiying Huang, Ranran Mei, Li-e Deng, Xiulan Yang, Yan Xu, Lingling Zhang, Min Xu Asia-Pacific Journal of Oncology Nursing.2024; 11(8): 100546. CrossRef - Catheter malposition analysis of totally implantable venous access port in breast cancer patients
Wenbo Liu, Qingzheng Han, Lin Li, Jiangrui Chi, Xinwei Liu, Yuanting Gu Frontiers in Surgery.2023;[Epub] CrossRef - Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
ANNA MARIA GARCIA CARDOSO, FERNANDA SANTOS WENGROVER, ALINE WÜRZIUS, MARINA PUERARI PIETA, RAFFAELA NASCIMENTO DE CARLI, CARLOS EDUARDO BASTIAN DA-CUNHA, RICARDO BREIGEIRON Revista do Colégio Brasileiro de Cirurgiões.2022;[Epub] CrossRef - Sağ Atriumdan Sağ Juguler Vene Yolculuk: Nadir Bir Port Kateter Komplikasyonu
Orhan ÜREYEN, Hüseyin FENERCİOĞLU, Demet ALAY, İlhan DURSUN, Enver İLHAN Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi.2021; 54(1): 148. CrossRef - Forty years after the first totally implantable venous access device (TIVAD) implant: the pure surgical cut-down technique only avoids immediate complications that can be fatal
Adriana Toro, Elena Schembari, Emanuele Gaspare Fontana, Salomone Di Saverio, Isidoro Di Carlo Langenbeck's Archives of Surgery.2021; 406(6): 1739. CrossRef - An analysis of the outcomes of totally implantable access port implantation performed by surgical residents
Se-Beom Jeon, Youngbae Jeon, Kyoung-Won Han, Yong-Soon Chun, Jeong-Heum Baek Korean Journal of Clinical Oncology.2021; 17(1): 15. CrossRef - Totally implantable venous access devices
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Lucas A. Mutch, Samuel T. Klinker, Jody J. Janecek, Melanie N. Niewinski, Rachael M. Z. Lee, Melanie L. Graham Journal of Investigative Surgery.2020; 33(6): 493. CrossRef - Validation of a questionnaire of knowledge and attitudes about the subcutaneous venous reservoir in nursing
Roberto Raña-Rocha, Ignacio López-de-Ullibarri, María-Jesús Movilla-Fernández, Carmen Coronado Carvajal Revista Latino-Americana de Enfermagem.2020;[Epub] CrossRef - Comparison of Care Outcomes Between Two Methods of Drug Injection Through Ports and Peripheral Veins in Patients Undergoing Chemotherapy
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Xingwei Sun, Yu Zhang, Chuanlai Yang, Yubin Zhou, Xuming Bai, Weiwei Zheng, Yong Jin Geriatrics & Gerontology International.2019; 19(3): 218. CrossRef - An unusual catheter malposition following totally implantable venous access port insertion: The catheter tip located into the right axillary vein
Ahmet Yüksel, Yusuf Velioğlu, Mustafa Enes Demirel, Erhan Renan Uçaroğlu Journal of Surgery and Medicine.2019;[Epub] CrossRef - Usefulness of Percutaneous Puncture in Insertion of Totally Implantable Venous Access Devices in Pediatric Patients
Jung Sik Choi, Keun-Myoung Park, Sungteak Jung, Kee Chun Hong, Yong Sun Jeon, Soon Gu Cho, Yun-Mee Choe Vascular Specialist International.2017; 33(3): 108. CrossRef - Reply on "What Is the Role of Surgeons When Implanting a Totally Implantable Venous Access Device to Prevent Immediate Complications?"
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- Short-term Outcomes of Hand-Assisted Laparoscopic Surgery vs. Open Surgery on Right Colon Cancer: A Case-Controlled Study
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Jae-Hoon Sim, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Gangmi Kim, Su Ran Kim, Dae-Yong Hwang
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Ann Coloproctol. 2013;29(2):72-76. Published online April 30, 2013
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DOI: https://doi.org/10.3393/ac.2013.29.2.72
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This study was designed to evaluate short-term clinical outcomes by comparing hand-assisted laparoscopic surgery with open surgery for right colon cancer. MethodsSixteen patients who underwent a hand-assisted laparoscopic right hemicolectomy (HAL-RHC group) and 33 patients who underwent a conventional open right hemicolectomy (open group) during the same period were enrolled in this study with a case-controlled design. ResultsThe operation time was 217 minutes in the HAL-RHC group and 213 minutes in the open group (P = 0.389). The numbers of retrieved lymph nodes were similar between the two groups (31 in the HAL-RHC group and 36 in the open group, P = 0.737). Also, there were no significant difference in the incidence of immediate postoperative leukocytosis, the administration of additional pain killers, and the postoperative recovery parameters. First flatus was shown on postoperative days 3.5 in the HAL-RHC group and 3.4 in the open group (P = 0.486). Drinking water and soft diet were started on postoperative days 4.8 and 5.9, respectively, in the HAL-RHC group and similarly 4.6 and 5.6 in the open group (P = 0.402 and P = 0.551). The duration of hospital stay was shorter in the HAL-RHC group than in the open group (10.3 days vs. 13.5 days, P = 0.048). No significant difference in the complication rates was shown between the two groups, and no postoperative mortality was encountered in either group. ConclusionThe patients with right colon cancer in the HAL-RHC group had similar pathologic and postoperative recovery parameters to those of the patients in the open group. The patients in the HAL-RHC group had shorter hospital stays than those in the open group. Therefore, hand-assisted laparoscopic right hemicolectomy for right-sided colon cancer is feasible.
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- Is Laparoscopic Complete Mesocolic Excision and Central Vascular Ligation Really Necessary for All Patients With Right-Sided Colon Cancer?
Gyung Mo Son, In Young Lee, Yoon Suk Lee, Bong-Hyeon Kye, Hyeon-Min Cho, Je-Ho Jang, Chang-Nam Kim, Kil Yeon Lee, Suk-Hwan Lee, Jun-Gi Kim Annals of Coloproctology.2021; 37(6): 434. CrossRef - A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer
Mohamed Ali Chaouch, Mohamed Wejih Dougaz, Meriem Mesbehi, Hichem Jerraya, Ramzi Nouira, Jim S. Khan, Chadli Dziri World Journal of Surgical Oncology.2020;[Epub] CrossRef - Laparoscopic right-sided colon resection for colon cancer—has the control group so far been chosen correctly?
Jörg O. W. Pelz, Johanna Wagner, Sven Lichthardt, Johannes Baur, Caroline Kastner, Niels Matthes, Christoph-Thomas Germer, Armin Wiegering World Journal of Surgical Oncology.2018;[Epub] CrossRef - Hand-assisted Laparoscopy: Expensive but Considerable Step Between Laparoscopic and Open Colectomy
Baris Gulcu, Ozgen Isik, Ersin Ozturk, Tuncay Yilmazlar Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2018; 28(4): 214. CrossRef - Hand-assisted laparoscopic surgery versus conventional open surgery in intraoperative and postoperative outcomes for colorectal cancer
Xubing Zhang, Qingbin Wu, Chaoyang Gu, Tao Hu, Liang Bi, Ziqiang Wang Medicine.2017; 96(33): e7794. CrossRef - Comparison of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy in patients with colorectal cancer: Final results from a single center
Takayuki Tajima, Masaya Mukai, Daiki Yokoyama, Shigeo Higami, Shuji Uda, Sayuri Hasegawa, Eiji Nomura, Sotaro Sadahiro, Seiei Yasuda, Hiroyasu Makuuchi Oncology Letters.2017; 13(6): 4953. CrossRef - Hand‐assisted laparoscopic colorectal surgery with double‐glove technique
Hernán Vaccarezza, Axel Sahovaler, Víctor Im, Gustavo Rossi, Carlos Vaccaro Surgical Practice.2016; 20(3): 124. CrossRef - Laparoscopic resection of right colon cancer—a matched pairs analysis
M. Zimmermann, C. Benecke, C. Jung, M. Hoffmann, J. Nolde, E. Schlöricke, H. P. Bruch, T. Keck, T. Laubert International Journal of Colorectal Disease.2016; 31(7): 1291. CrossRef - Comparative Study on Therapeutic Efficacy Between Hand-Assisted Laparoscopic Surgery and Conventional Laparotomy for Acute Obstructive Right-Sided Colon Cancer
Zhengrong Li, Daojiang Li, Zhigang Jie, Guoyang Zhang, Yi Liu Journal of Laparoendoscopic & Advanced Surgical Techniques.2015; 25(7): 548. CrossRef - Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for rectal cancer: Interim results from a single center
TAKAYUKI TAJIMA, MASAYA MUKAI, WATARU NOGUCHI, SHIGEO HIGAMI, SHUUJI UDA, SOUICHIROU YAMAMOTO, SAYURI HASEGAWA, EIJI NOMURA, SOTARO SADAHIRO, SEIEI YASUDA, HIROYASU MAKUUCHI Molecular and Clinical Oncology.2015; 3(3): 533. CrossRef - Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study
JiaQing Gong, YongKuan Cao, YunMing Li, GuoHu Zhang, PeiHong Wang, GuoDe Luo Surgical Endoscopy.2014; 28(10): 2998. CrossRef - Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution
TAKAYUKI TAJIMA, MASAYA MUKAI, MASASHI YAMAZAKI, SHIGEO HIGAMI, SOUICHIROU YAMAMOTO, SAYURI HASEGAWA, EIJI NOMURA, SOTARO SADAHIRO, SEIEI YASUDA, HIROYASU MAKUUCHI Oncology Letters.2014; 8(2): 627. CrossRef - Should Hand-Assisted Laparoscopic Surgery Be Placed in the Realm of Minimally Invasive Surgery?
Hungdai Kim Annals of Coloproctology.2013; 29(2): 42. CrossRef
- Feasibility of Hand-Assisted Laparoscopic Surgery as Compared to Open Surgery for Sigmoid Colon Cancer: A Case-Controlled Study
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Sang Eun Nam, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Dae-Yong Hwang
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Ann Coloproctol. 2013;29(1):17-21. Published online February 28, 2013
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DOI: https://doi.org/10.3393/ac.2013.29.1.17
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4,226
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The aim of this study was to evaluate short-term clinical outcomes by comparing hand-assisted laparoscopic surgery (HALS) with open surgery for sigmoid colon cancer. MethodsTwenty-six patients who underwent a hand-assisted laparoscopic anterior resection (HAL-AR group) and 52 patients who underwent a conventional open anterior resection during the same period were enrolled (open group) in this study with a case-controlled design. ResultsPathologic parameters were similar between the two groups. The incidences of immediate postoperative leukocytosis were 38.5% in the HAL-AR group and 69.2% in the open group (P = 0.009). There were no significant differences between the two groups as to leukocyte count, hemoglobin, and hematocrits (P = 0.758, P = 0.383, and P = 0.285, respectively). Of the postoperative recovery indicators, first flatus, sips of water and soft diet started on postoperative days 3, 5, 7 in the HALS group and on days 4, 5, 6 in the open group showed statistical significance (P = 0.021, P = 0.259, and P = 0.174, respectively). Administration of additional pain killers was needed for 1.2 days in the HAL-AR group and 2.4 days in the open group (P = 0.002). No significant differences in the durations of hospital stay and the rates of postoperative complications were noted, and no postoperative mortality was encountered in either group. ConclusionThe patients with sigmoid colon cancer who underwent a HAL-AR had a lower incidence of postoperative leukocytosis, less administration of pain killers, and faster first flatus than those who underwent open surgery. Clinical outcomes for patients' recovery and pathology status were similar between the two groups. Therefore, a HAL-AR for sigmoid colon cancer is feasible and has the same benefit as minimally invasive surgery.
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Citations
Citations to this article as recorded by 
- Hand-assisted laparoscopic surgery versus conventional open surgery in intraoperative and postoperative outcomes for colorectal cancer
Xubing Zhang, Qingbin Wu, Chaoyang Gu, Tao Hu, Liang Bi, Ziqiang Wang Medicine.2017; 96(33): e7794. CrossRef - Hand-Assisted Laparoscopic Surgery: A Versatile Tool for Colorectal Surgeons
Ju Yong Cheong, Christopher J. Young Annals of Coloproctology.2017; 33(4): 125. CrossRef - Hand-assisted laparoscopic vs open colectomy: an assessment from the American College of Surgeons National Surgical Quality Improvement Program procedure-targeted cohort
Cigdem Benlice, Meagan Costedio, Luca Stocchi, Maher A. Abbas, Emre Gorgun The American Journal of Surgery.2016; 212(5): 808. CrossRef - Learning curve for hand-assisted laparoscopic D2 radical gastrectomy
Jia-Qing Gong World Journal of Gastroenterology.2015; 21(5): 1606. CrossRef - Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study
JiaQing Gong, YongKuan Cao, YunMing Li, GuoHu Zhang, PeiHong Wang, GuoDe Luo Surgical Endoscopy.2014; 28(10): 2998. CrossRef
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