Wu Jingjin, Zhang Li, Jia Xiaojian, Mu Yunchuan, Ding Caiyou, Lou Yanbo
Department of General Surgery, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
Department of Nephrology, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
Phlebology. 2025 Jun;40(5):300-313. doi: 10.1177/02683555241307760. Epub 2024 Dec 10.
Although the implantation of the totally implantable venous access ports globally is increasingly sophisticated, there is still a dearth of absolute standardization in the technical choice of each surgical step, with numerous technologies demonstrating significant applicability. This review comprehensively summarizes the diverse choices of implantation procedural techniques related to the pocket location, vein access, port specification, catheterization method, puncture guidance, single-incision technique, catheter tip positioning method, port fixation, skin closure, and first-use period. The aim is to provide surgeons with alternative options when they encounter different problems in each procedure due to the diverse clinical characteristics of patients during venous port implantation.
尽管全球范围内完全植入式静脉通路端口的植入技术日益复杂,但在每个手术步骤的技术选择上仍缺乏绝对的标准化,有众多技术都显示出显著的适用性。本综述全面总结了与囊袋位置、静脉通路、端口规格、置管方法、穿刺引导、单切口技术、导管尖端定位方法、端口固定、皮肤闭合及首次使用期相关的植入操作技术的多样选择。目的是在静脉端口植入过程中,当外科医生因患者不同的临床特征在每个步骤遇到不同问题时,为他们提供替代选择。