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Complications and risk factors for complications of implanted subcutaneous ports for intraperitoneal chemotherapy in gastric cancer with peritoneal metastasis

摘要Objective: Intraperitoneal (IP) chemotherapy through subcutaneous port is an effective treatment for gastric cancer (GC) patients with peritoneal metastasis (PM).The objective of this study is to assess the port complications and risk factors for complications in GC patients with PM.Methods: In retrospective screening of 301 patents with subcutaneous ports implantation,249 GC patients with PM who received IP chemotherapy were screened out for analysis.Port complications and risk factors for complications were analyzed.Results: Of the 249 analyzed patients,57 (22.9%) experienced port complications.Subcutaneous liquid accumulation (42.1%) and infection (28.1%) were the main complications,and other complications included port rotation (14.1%),wound dehiscence (12.3%),inflow obstruction (1.7%) and subcutaneous metastasis (1.7%).The median interval between port implantation and occurrence of complications was 3.0 months.Eastern Cooperative Oncology Group (ECOG) performance status[odds ratio (OR),1.74;95% confidence interval (95% CI),1.12-2.69],albumin (OR,3.67;95% CI,1.96-6.86),implantation procedure optimization (OR,0.33;95% CI,0.18-0.61) and implantation groups (OR,0.37;95% CI,0.20-0.69) were independent risk factors for port complications (P<0.05).ECOG performance status was the only factor that related to the grades of port complications (P=0.016).Conclusions: Port complications in GC patents who received IP chemotherapy are manageable.ECOG performance status,albumin,implantation procedure and implantation group are independent risk factors for port complications in GC patients with PM.

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作者 Zhongyin Yang [1] Chen Li [1] Wentao Liu [1] Yanan Zheng [1] Zhenglun Zhu [1] Zichen Hua [1] Zhentian Ni [1] Sheng Lu [1] Min Yan [1] Chao Yan [1] Zhenggang Zhu [1] 学术成果认领
作者单位 Department of General Surgery, Gastrointestinal Surgery, Shanghai Key Laboratory of Gastric Neoplasms, Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China [1]
栏目名称 Original Article
DOI 10.21147/j.issn.1000-9604.2020.04.07
发布时间 2020-10-14
基金项目
This work was supported by National Natural Science Foundation of China Multicenter Clinical Trial of Shanghai Jiao Tong University School of Medicine
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中国癌症研究(英文版)

中国癌症研究(英文版)

2020年32卷4期

497-507页

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