Complications of venous access ports in 132 patients with disseminated testicular cancer treated with polychemotherapy
| العنوان: | Complications of venous access ports in 132 patients with disseminated testicular cancer treated with polychemotherapy |
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| المؤلفون: | H. J. Hoekstra, Hs Koops, J. T. Plukker, Z. J. De Langen, W.T.A. van der Graaf, Dt Sleijfer, N. W. M. Lemmers, M. E. Gels, J. H. J. Droste |
| المصدر: | Journal of Clinical Oncology. 14:2916-2922 |
| بيانات النشر: | American Society of Clinical Oncology (ASCO), 1996. |
| سنة النشر: | 1996 |
| مصطلحات موضوعية: | Adult, Male, Cancer Research, medicine.medical_specialty, Time Factors, Adolescent, medicine.medical_treatment, Route of administration, Catheters, Indwelling, Testicular Neoplasms, Risk Factors, Antineoplastic Combined Chemotherapy Protocols, medicine, Humans, Infusions, Intravenous, Vein, Testicular cancer, Retrospective Studies, Chemotherapy, business.industry, Retrospective cohort study, Perioperative, Middle Aged, medicine.disease, Surgery, medicine.anatomical_structure, Oncology, Pneumothorax, Multivariate Analysis, Complication, business |
| الوصف: | PURPOSE Venous access ports (VAPs) can be used to administer polychemotherapy to patients with malignancies. The purpose of this study was to evaluate perioperative and late complications related to VAP implantations and to analyze factors that may predict the development of complications. PATIENTS AND METHODS During the period 1983 to 1994, 135 VAPs were implanted in 132 patients with disseminated testicular tumors. In a retrospective study, the perioperative and late complications were recorded in this homogeneous patient group. Multivariate analysis was performed to detect factors that may predict the development of complications. RESULTS The median age of the patients was 28 years (range, 16 to 55). Perioperative complications were recorded in five patients (3.7%): pneumothorax in two (1.5%), blood loss in two (1.5%), and mediastinal bleeding in one (0.7%). The ports remained in situ for a total of 55,247 days (median, 413; range, 7 to 1,607). In 31 patients (23%), 42 late complications developed (31%): system obstruction in 13 (9.6%), thrombosis in 11 (8.1%), infection in six (4.4%), catheter defect in six (4.4%), extravasation in four (3.0%), and local skin necrosis in two (1.5%). Late complications were significantly more common in patients who had received chemotherapy before VAP implantation (P < .001). Univariate analysis showed that there were significantly more complications after VAP implantation under local anesthesia than under general anesthesia (P < .05). CONCLUSION Polychemotherapy could be administered in an adequate manner using a VAP. Complications occurred in 26.7% of a homogeneous group of patients who received a VAP implantation for polychemotherapy for disseminated testicular cancer. Chemotherapy treatment before VAP implantation was the only independent risk factor for late complications. |
| تدمد: | 1527-7755 0732-183X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8c2f6eecd57c4e2217d043fcb7ee698b https://doi.org/10.1200/jco.1996.14.11.2916 |
| رقم الأكسشن: | edsair.doi.dedup.....8c2f6eecd57c4e2217d043fcb7ee698b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15277755 0732183X |
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