An analysis of the outcomes of totally implantable access port implantation performed by surgical residents
- Author:
Se-Beom JEON
1
;
Youngbae JEON
;
Kyoung-Won HAN
;
Yong-Soon CHUN
;
Jeong-Heum BAEK
Author Information
- Publication Type:1
- From: Korean Journal of Clinical Oncology 2021;17(1):15-22
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 threegroups: 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.
