Abstract:
<b>Introduction:</b> A venous port system consists of a port chamber attached to a central catheter, which is implanted into the central venous system. The removal of the vascular port includes all items of this system. This procedure is usually simple and quick. Complications with port removal are rare but possible.<b>Aim:</b> The study aimed to summarize venous port removal procedures performed by pediatric surgeons.<b>Material and methods:</b> The single-center, retrospective study was conducted on 360 pediatric patients treated during the years 2010-2022 in the Department of Pediatric Surgery, Traumatology, and Urology in Poznan.<b>Results:</b> The port usage time before the removal ranged from 3 days to 8 years and 3 months, with an average of 22 months. The leading cause of vascular port removal was the end of treatment (78.06%). Other less frequent reasons were the infection (13.89%) and mechanical damage of the port (3.33%). There were almost no complications connected with the procedure of vascular port removal (92.2%). If the complications occurred, they included bleeding during surgery (3%), covering the vascular catheter with bone tissue of the clavicle, causing difficulties with the catheter removal from the vein (1.4%), and connected with the previous complications-prolonged clavicle pain after surgery (1.4%) and hematoma after surgery (2%).<b>Conclusions:</b> Removing the venous port is a safe procedure with a low risk of complications. This procedure can be considered as an appropriate training procedure for young trainees. A more extended period of use of the vascular port before its removal may be associated with more difficulties during surgery.
摘要:
<b>简介:</b>静脉端口系统由连接到中央导管的端口室组成,植入中心静脉系统.血管端口的移除包括该系统的所有项目。这个过程通常是简单和快速的。端口移除的并发症很少见,但可能。<b>目的:</b>该研究旨在总结儿科外科医生进行的静脉输液港拔除程序。<b>材料和方法:</b>单中心,回顾性研究是在2010-2022年期间在小儿外科接受治疗的360名儿科患者中进行的,创伤学,波兹南的泌尿外科.<b>结果:</b>拆除前的港口使用时间为3天至8年3个月,平均22个月。血管端口移除的主要原因是治疗结束(78.06%)。其他较不常见的原因是感染(13.89%)和港口的机械损伤(3.33%)。几乎没有与血管端口移除术相关的并发症(92.2%)。如果出现并发症,包括手术期间出血(3%),用锁骨的骨组织覆盖血管导管,导致导管从静脉中取出困难(1.4%),并与以前的并发症有关-手术后锁骨疼痛延长(1.4%)和手术后血肿(2%)。<b>结论:</b>移除静脉端口是一种安全的手术,并发症风险低。此程序可视为适合年轻学员的培训程序。在移除血管端口之前使用血管端口的更长时间可能与手术期间的更多困难相关联。