One port laparoscopic technique for interval placement of intraperitoneal chemotherapy port under direct visualization.
OBJECTIVE
In an effort to minimize catheter-related complications we present a 1-port laparoscopic procedure for interval placement of an intraperitoneal chemotherapy catheter under direct visualization.


METHODS
A single 5-mm laparoscopic port is placed in the umbilicus. A 5-cm incision is made in the midaxillary line and a pocket is created to hold the intraperitoneal chemotherapy port. The introducer is then tunneled from the pocket towards the umbilicus and is used to pierce the fascia under direct visualization. It is then tunneled towards the camera and removed through the umbilical port. The catheter is cut and allowed to fall back into the abdomen under direct visualization.


RESULTS
No patient had their chemotherapy regimen altered because of catheter-related complications. Specifically, there were no other infections, leakage, blockage, or access problems.


CONCLUSIONS
In selected patients, this may be considered as a new minimally invasive option.
Department of Obstetrics and Gynecology, New York-Presbyterian/Weill Cornell Medical College, New York, NY 10065, USA. snl2001@nyp.org
Stephanie N
SN
Lin
Yifan
Y
Xu
Ali Hassan
AH
Hamed
Giuseppe
G
Del Priore
D005260:Female; D006801:Humans; D015918:Infusion Pumps, Implantable; D010535:Laparoscopy / Q000379:methods*; D010051:Ovarian Neoplasms / Q000188:drug therapy*; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D014472:Umbilicus