title: A simple method to accurately position Port-A-Cath without the aid of intraoperative fluoroscopy or other localizing devices.
abstract: BACKGROUND
  To evaluate the efficacy and acceptability of the Port-A-Cath (PAC) insertion method with (conventional group as II) and without (modified group as I) the aid of intraoperative fluoroscopy or other localizing devices.
  
  
  METHODS
  A total of 158 women with various kinds of gynecological cancers warranting PAC insertion (n = 86 in group I and n = 72 in group II, respectively) were evaluated. Data for analyses included patient age, main disease, dislocation site, surgical time, complications, and catheter outcome.
  
  
  RESULTS
  There was no statistical difference between the two groups in terms of age, main disease, complications, and the experiencing of patent catheters. However, appropriate positioning (100% in group I, and 82% in group II) in the superior vena cava (SVC) showed statistical differences between the two groups (P = 0.001). In addition, the surgical time in group I was statistically shorter than that in group II (P < 0.001).
  
  
  CONCLUSIONS
  The modified method for inserting the PAC offered the following benefits: including avoiding X-ray exposure for both the operator and the patient, defining the appropriate position in the SVC, and less surgical time.
authors.affiliation: Department of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan.
authors.forename: Huann-Cheng
authors.initials: HC
authors.lastname: Horng
authors.forename: Chiou-Chung
authors.initials: CC
authors.lastname: Yuan
authors.forename: Kuan-Chong
authors.initials: KC
authors.lastname: Chao
authors.forename: Ming-Huei
authors.initials: MH
authors.lastname: Cheng
authors.forename: Peng-Hui
authors.initials: PH
authors.lastname: Wang
mesh_terms: D000772:Anesthesia, Local; D000779:Anesthetics, Local; D002405:Catheterization, Central Venous / Q000191:economics / Q000295:instrumentation / Q000379:methods* / Q000592:standards*; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000191:economics; D003362:Cost-Benefit Analysis; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D005260:Female; D005471:Fluoroscopy / Q000295:instrumentation; D005833:Genital Neoplasms, Female / Q000601:surgery; D006801:Humans; D007262:Infusions, Intravenous; D007430:Intraoperative Care; D008012:Lidocaine; D008875:Middle Aged
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine