外科住院医师进行的完全植入式接入端口植入术的结果分析。
An analysis of the outcomes of totally implantable access port implantation performed by surgical residents.
作者信息
Jeon Se-Beom, Jeon Youngbae, Han Kyoung-Won, Chun Yong-Soon, Baek Jeong-Heum
机构信息
Department of Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
出版信息
Korean J Clin Oncol. 2021 Jun;17(1):15-22. doi: 10.14216/kjco.21003. Epub 2021 Jun 30.
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.
目的
本研究旨在调查普通外科住院医师为结直肠癌患者植入全植入式输液港（TIAP）后的临床结局。
方法
对连续291例行TIAP植入术的患者进行评估。患者分为三组：二年级、三年级和四年级住院医师组。
结果
平均随访时间为22.1个月（范围1 - 87个月）。随着住院医师年级升高，手术、穿刺和置管的总时间减少（P<0.001）。住院医师年级越高，早期并发症显著减少（P = 0.039）。未使用超声和未使用C形臂被确定为并发症的独立危险因素。二年级与三年级（P = 0.005）以及二年级与四年级（P = 0.041）之间的住院医师年级被确定为最佳尖端位置的独立危险因素。
结论
住院医师能够安全有效地进行TIAP植入术。低年资住院医师与早期并发症相关。
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