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KMID : 1188520210170010015
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Korean Journal of Clinical Oncology
2021 Volume.17 No. 1 p.15 ~ p.22
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An analysis of the outcomes of totally implantable access port implantation performed by surgical residents
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Jeon Se-Beom
Jeon Young-Bae
Han Kyoung-Won
Chun Yong-Soon
Baek Jeong-Heum
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Abstract
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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.
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KEYWORD
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Totally implantable access ports, Resident, Complication, Risk factor
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