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Objective <p>To conduct a comparative assessment of the safety and efficacy of the port repositioning technique and the port re-implantation technique in treating periport skin infections associated with totally implantable venous access ports (TIVAPs).</p> Methods <p>A retrospective analysis was performed on 35 patients who presented with periport skin infections at Jiangyin People's Hospital between June 2016 and August 2022. Among them, 15 patients in Group A underwent port repositioning surgery, while 20 patients in Group B received port re-implantation surgery. Clinical data of all patients were meticulously collected, including postoperative wound healing status and the functionality of the repositioned or re-implanted TIVAPs.</p> Results <p>In Group A, the median age was 58&#xa0;years (IQR 46–63&#xa0;years); in Group B, the median age was 60.5&#xa0;years (IQR 54.3–70&#xa0;years). The median BMI of Group A patients was 22.2&#xa0;kg/m<sup>2</sup> (IQR 20.4–23.5&#xa0;kg/m<sup>2</sup>); the median BMI of Group B patients was 21.5&#xa0;kg/m<sup>2</sup> (IQR 20.5–23.1&#xa0;kg/m<sup>2</sup>). Technical success was achieved in all patients (100%), and all ports were functional postoperatively. In Group A, the median indwelling time of the repositioned TIVAPs was 7&#xa0;months (IQR 4–11&#xa0;months); in Group B, the median indwelling time of the newly re-implanted TIVAPs was 5&#xa0;months (IQR 3–8&#xa0;months); there was no statistically significant difference between the two groups (P &gt; 0.05).</p> Conclusion <p>Compared with the port re-implantation technique, the port repositioning technique for periport skin infections is a minimally invasive and cost-effective approach. Nevertheless, further investigations with a larger number of cases are required to comprehensively validate its safety and reliability.</p>

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A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation technique

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月13日

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  • Qiulian Sun,
  • Ling Tang,
  • Jiefei Cheng,
  • Dongqing Ren,
  • Xinchun Guo

摘要

Objective

To conduct a comparative assessment of the safety and efficacy of the port repositioning technique and the port re-implantation technique in treating periport skin infections associated with totally implantable venous access ports (TIVAPs).

Methods

A retrospective analysis was performed on 35 patients who presented with periport skin infections at Jiangyin People's Hospital between June 2016 and August 2022. Among them, 15 patients in Group A underwent port repositioning surgery, while 20 patients in Group B received port re-implantation surgery. Clinical data of all patients were meticulously collected, including postoperative wound healing status and the functionality of the repositioned or re-implanted TIVAPs.

Results

In Group A, the median age was 58 years (IQR 46–63 years); in Group B, the median age was 60.5 years (IQR 54.3–70 years). The median BMI of Group A patients was 22.2 kg/m2 (IQR 20.4–23.5 kg/m2); the median BMI of Group B patients was 21.5 kg/m2 (IQR 20.5–23.1 kg/m2). Technical success was achieved in all patients (100%), and all ports were functional postoperatively. In Group A, the median indwelling time of the repositioned TIVAPs was 7 months (IQR 4–11 months); in Group B, the median indwelling time of the newly re-implanted TIVAPs was 5 months (IQR 3–8 months); there was no statistically significant difference between the two groups (P > 0.05).

Conclusion

Compared with the port re-implantation technique, the port repositioning technique for periport skin infections is a minimally invasive and cost-effective approach. Nevertheless, further investigations with a larger number of cases are required to comprehensively validate its safety and reliability.