Implantation of Venous Access Port via Axillary Vein in the Operation of Breast Cancer: A Retrospective Study of 40 Cases_West China Medical Journal

Authors：

 MaoLing , LiuFangfang ,  HuangXuandong

Department of Thyroid and Breast Surgery, Huai’an Second People’s Hospital, Huai’an, Jiangsu 223001, P. R. China;

Corresponding?author：

HuangXuandong, Email: xdhuang3970808@sina.com

Keywords：

Breast cancer; Axillary vein; Venous access port; Complications

DOI：

10.7507/1002-0179.201600183

Video：

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Objective To summarize the advantages and complications of implantation of venous access port via axillary vein in the operation of breast cancer, and to explore the countermeasures against the complications. Methods A total of 40 female patients with breast cancer were enrolled in this observational study between January 2011 and September 2014. They were aged from 32 to 62 years with a mean of 49.3 years. The time for implantation, catheter life, reasons for port removal and complications were evaluated. Results The average time for implantation was 23.3 minutes. The catheter life ranged from 142 to 917 days with a mean of 395 days. Four patients (10%) had port-related complications including 2 cases of pocket infection and 2 of catheter dysfunction. Thirty-one ports were removed for termination of chemotherapy, and four were removed for complications. Conclusions It is simple and time-saving to implant venous access port via axillary vein in the operation of breast cancer. The incidence of pocket infection is high, and is expected to be reduced by choosing appropriate cases and taking strict aseptic norms.

Citation： MaoLing, LiuFangfang, HuangXuandong. Implantation of Venous Access Port via Axillary Vein in the Operation of Breast Cancer: A Retrospective Study of 40 Cases. West China Medical Journal, 2016, 31(4): 667-670. doi: 10.7507/1002-0179.201600183 Copy

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8.	Niederhuber JE, Ensminger W, Gyves JW, et al. Totally implantable venous and arterial access system to replace external catheters in cancer treatment[J]. Surgery, 1982, 92(4): 706-712.
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10.	孫玉巧, 周濤, 李云濤, 等. 完全植入式靜脈輸液港的臨床應用[J].中華外科雜志, 2014, 52(8): 608-611.
11.	Fazeny-Dorner B, Wenzel C, Berzlanovich A, et al. Central venous catheter pinch-off and fracture: recognition, prevention and management[J]. Bone Marrow Transplant, 2003, 31(10): 927-930.
12.	覃謙, 陳麗菊, 文燕舞, 等. TIAP與PICC在腫瘤患者化療和營養支持治療中的并發癥比較和臨床意義[J]. 中華普通外科雜志, 2012, 27(10): 843-844.
13.	Jan HC, Chou SJ, Chen TH, et al. Management and prevention of complications of subcutaneous intravenous infusion port[J]. Surg Oncol, 2012, 21(1): 7-13.
14.	鄧宏武, 周征宇, 梁英, 等. PICC與CVPAS兩種深靜脈置管術在乳腺癌患者中的應用比較[J]. 武警醫學, 2012, 23(10): 897-898.
15.	DiSipio T, Rye S, Newman B, et al. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis[J]. Lancet Oncol, 2013, 14(6): 500-515.
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1. ?中國抗癌協會乳腺癌專業委員會. 中國抗癌協會乳腺癌診治指南與規范(2013版)[J]. 中國癌癥雜志, 2013, 23(8): 637-684.
2. 陳偉芬, 朱華, 趙秀英, 等. 乳腺癌患者化療期間不同靜脈輸液途徑的選擇與血管保護的關系[J]. 護士進修雜志, 2006, 21(2): 105-107.
3. Zaghal A, Khalife M, Mukherji D, et al. Update on totally implantable venous access devices[J]. Surg Oncol, 2012, 21(3): 207-215.
4. Niederhuber JE, Von Moll LK, Niederhuber JE, et al. Experience with subcutaneous infusion ports in three hundred patients[J]. Surg Gynecol Obstet, 1988, 166(4): 295-301.
5. Kurul S, Saip P, Aydin T, et al. Totally implantable venous-access ports: localproblems and extravasation injury[J]. Lancet Oncol, 2002, 3(11): 684-692.
6. 陳麗莉, 何惠燕, 毛曉群. 乳腺癌患者應用植入式中心靜脈輸液港的常見問題與對策[J]. 中華護理雜志, 2011, 46(11): 1116-1117.
7. 茅玲, 孫愛軍, 黃選東, 等. 乳腺癌術中放置輸液港的臨床體會[J].中國美容醫學, 2012, 21(10): 166-167.
8. Niederhuber JE, Ensminger W, Gyves JW, et al. Totally implantable venous and arterial access system to replace external catheters in cancer treatment[J]. Surgery, 1982, 92(4): 706-712.
9. 莫美珍, 林稱喜, 鐘華英, 等. 乳腺癌患者應用植入式靜脈輸液港與PICC的效果比較[J]. 中國實用護理雜志, 2013, 29(24): 19-20.
10. 孫玉巧, 周濤, 李云濤, 等. 完全植入式靜脈輸液港的臨床應用[J].中華外科雜志, 2014, 52(8): 608-611.
11. Fazeny-Dorner B, Wenzel C, Berzlanovich A, et al. Central venous catheter pinch-off and fracture: recognition, prevention and management[J]. Bone Marrow Transplant, 2003, 31(10): 927-930.
12. 覃謙, 陳麗菊, 文燕舞, 等. TIAP與PICC在腫瘤患者化療和營養支持治療中的并發癥比較和臨床意義[J]. 中華普通外科雜志, 2012, 27(10): 843-844.
13. Jan HC, Chou SJ, Chen TH, et al. Management and prevention of complications of subcutaneous intravenous infusion port[J]. Surg Oncol, 2012, 21(1): 7-13.
14. 鄧宏武, 周征宇, 梁英, 等. PICC與CVPAS兩種深靜脈置管術在乳腺癌患者中的應用比較[J]. 武警醫學, 2012, 23(10): 897-898.
15. DiSipio T, Rye S, Newman B, et al. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis[J]. Lancet Oncol, 2013, 14(6): 500-515.
16. Armer JM, Stewart BR. Post-breast cancer lymphedema: incidence increases from 12 to 30 to 60 months[J]. Lymphology, 2010, 43(3): 118-127.

West China Medical Journal

Implantation of Venous Access Port via Axillary Vein in the Operation of Breast Cancer: A Retrospective Study of 40 Cases

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