Midorikawa Yasuhiko, Nakachi Takeshi, Kasuga Teruhiko
Dept. of Surgery, Kureha General Hospital.
Gan To Kagaku Ryoho. 2006 Dec;33 Suppl 2:264-6.
We report our outpatient cases for home anti-cancer chemotherapy using a CV port and a portable pump system. A total of 119 patients with advanced and recurrent cancer were performed at an outpatient clinic or provided home anti-cancer chemotherapy since December 1996 until December 2005. Of these patients, 18 patients were provided home anti-cancer chemotherapy using a CV port and a portable pump system (5 with gastric, 4 colonic, 2 rectal, 1 lung, 1 hepatic, 1 duodenal, 2 breast, and 2 pancreatic). Fifteen patients had died, and 3 patients are alive and undergoing continuous therapy. The response revealed 3 cases with partial response, 13 cases with no change and 2 cases with progressive disease. No severe side effects were seen, and no troubles of catheter and port were experienced as well. Not only the treatment of outpatients for home anti-cancer chemotherapy was effective and maintained the patient's QOL, but also contributed to a marked decrease of medical costs compared to admission therapy.
我们报告了使用中心静脉导管（CV port）和便携式泵系统进行门诊家庭抗癌化疗的病例。自1996年12月至2005年12月，共有119例晚期和复发性癌症患者在门诊接受治疗或接受家庭抗癌化疗。其中，18例患者使用中心静脉导管和便携式泵系统接受家庭抗癌化疗（5例胃癌、4例结肠癌、2例直肠癌、1例肺癌、1例肝癌、1例十二指肠癌、2例乳腺癌和2例胰腺癌）。15例患者已死亡，3例患者存活并正在接受持续治疗。疗效显示3例部分缓解，13例无变化，2例疾病进展。未观察到严重副作用，也未出现导管和中心静脉导管相关问题。门诊家庭抗癌化疗不仅治疗有效且维持了患者的生活质量，与住院治疗相比，还显著降低了医疗费用。
