Department of General Surgery, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.
Department of General Surgery, Hospital Sultanah Aminah, Johor Bahru, Malaysia.
Afr J Paediatr Surg. 2024 Jul 1;21(3):204-206. doi: 10.4103/ajps.ajps_159_22. Epub 2023 Jul 20.
A chemoport is widely used in paediatric oncology population. Removal is a relatively easy procedure, but difficulty can be encountered in case the catheter is densely adherent to the vascular wall. It is a rare complication and is associated with long indwelling duration and acute lymphoblastic leukaemia (ALL). Forceful traction can lead to vascular injury and high morbidity. Herein, we report a 7-year-old girl with precursor B ALL who had delayed chemoport removal due to the coronavirus disease (COVID-19) pandemic. The removal process was difficult, as the catheter was adherent to the right innominate vein. Out of panic, the surgeon pulled it out forcefully. Fortunately, the catheter and its fragment were successfully retrieved completely and the child was discharged the next day. The management strategy varies and ranges from minimally invasive to open surgery. Leaving a stuck chemoport catheter in situ can be a bailout method or part of conservative management.
化疗港在儿科肿瘤人群中被广泛应用。取出是一个相对简单的过程，但如果导管紧密附着在血管壁上，可能会遇到困难。这是一种罕见的并发症，与留置时间长和急性淋巴细胞白血病（ALL）有关。强力牵引可能导致血管损伤和高发病率。在此，我们报告了一例 7 岁女孩，她患有前体 B 细胞 ALL，由于冠状病毒病（COVID-19）大流行，化疗港的取出被延迟。取出过程很困难，因为导管附着在右无名静脉上。出于恐慌，外科医生用力将其拔出。幸运的是，导管及其碎片被成功完全取出，患儿第二天出院。管理策略各不相同，包括微创到开放手术。将滞留的化疗港导管留在原位可以作为一种抢救方法或保守治疗的一部分。
