Çocuk Hastalarda Tümüyle Yerleştirilebilen Venöz Erişim Yollarının Çıkarılma Nedenlerinin Değerlendirilmesi
Özet
In Hacettepe University Faculty
of Medicine, Department of Pediatric Surgery, ports implanted and removed between
2000-2013 were evaluated retrospectively to determine the reasons for port removal.
The recordings of 242 patients with a mean age of 9.4 (4-9 y) years, male to female
ratio of 1.32:1 were evaluated. The mean age and male to female ratio of patients in
CTG (n=170, 70.2%) and CG (n=37, 29.8%) were 1.32:1, 1.15:1 and 10.2±4.9,
7.7±4.4 respectively. There is no significant difference between groups for age,
weight, height and body mass index (p>0.05). Patients were grouped according to
diagnosis; hematologic malignancies (n=77, 31.8%), solid tumours (n=94, 38.8%),
other malignancies (n=57, 23.6%) and diagnosis without malignancy (n=14, %5.8).
The reasons for port removal were infections (n=37, 51.4%), port-skin dehiscence
(n=13, 18.1%), leakage (n=7, 9.7%), thrombus in port (n=6, 8.3%) and conversion to
dialysis (n=2, 2.8%). In hematologic malignancies and solid tumours, the most
common complications were infections, and in other diagnostic groups other
complications were prominent. Port removal due to other complications was more
common in patients with steroid treatment than patients without steroid treatment
(p<0.05). The most common isolated microorganisms in patients with port infectious
were fungi, S. aureus ve S. epidermidis respectively. In conclusion, one third of the
children with intravenous ports underwent port removal because of complications. In
patients with hematologic malignancies, port removal before completing the
treatment was more common and most of them were because of infectious
complications. Patients who received steroid treatment had higher rate of non
infectious complications and infectious than others without steroid treatment.