title: Safety and Effectiveness of Percutaneously Inserted Peritoneal Ports Compared to Surgically Inserted Ports in a Retrospective Study of 87 Patients with Ovarian Carcinoma over a 10-Year Period.
abstract: OBJECTIVE
  Placement of peritoneal ports has become a favorable technique for direct chemotherapy infusion in treating peritoneal metastases from ovarian cancer. We aim to outline an approach to the percutaneous insertion of peritoneal ports and to characterize success and complication rates compared to surgically inserted ports.
  
  
  METHODS
  Retrospective analysis was collected from 87 patients who had peritoneal port insertion (28 inserted surgically and 59 percutaneously) for treatment of peritoneal metastases from ovarian cancer from July 2004 to July 2014. Complications were classified according to the SIR Clinical Practice Guidelines as major or minor.
  
  
  RESULTS
  Technical success rates for surgically and percutaneously inserted ports were 100 and 96.7 %, respectively (p = 0.44), with the two percutaneous failures successful at a later date. There were no major complications in either group. Minor complication rates for surgically versus percutaneously inserted ports were 46.4 versus 22.0 %, respectively (p = 0.02). The infection rate for surgically inserted versus percutaneously inserted ports was 14.3 and 0 %, respectively (p = 0.002). The relative risk of developing a complication from percutaneous peritoneal port insertion without ascites was 3.4 (p = 0.04). For percutaneously inserted ports, the mean in-room procedure time was 81 ± 1.3 min and mean fluoroscopy time was 5.0 ± 4.5 min.
  
  
  CONCLUSIONS
  Percutaneously inserted peritoneal ports are a safe alternative to surgically inserted ports, demonstrating similar technical success and lower complication rates.
authors.affiliation: Vascular and Interventional Radiology, Department of Diagnostic Imaging, The Scarborough Hospital, 3030 Lawrence Street East, Scarborough, ON, M1P 2T7, Canada. jwoodleycook@gmail.com.
authors.forename: Joel
authors.identifier: http://orcid.org/0000-0002-9651-5185
authors.initials: J
authors.lastname: Woodley-Cook
authors.affiliation: Vascular and Interventional Radiology, Department of Medical Imaging, University Health Network, University of Toronto, Toronto, ON, Canada.
authors.forename: Emidio
authors.initials: E
authors.lastname: Tarulli
authors.affiliation: Vascular and Interventional Radiology, Department of Medical Imaging, University Health Network, University of Toronto, Toronto, ON, Canada.
authors.forename: Kong T
authors.initials: KT
authors.lastname: Tan
authors.affiliation: Vascular and Interventional Radiology, Department of Medical Imaging, University Health Network, University of Toronto, Toronto, ON, Canada.
authors.forename: Dheeraj K
authors.initials: DK
authors.lastname: Rajan
authors.affiliation: Vascular and Interventional Radiology, Department of Medical Imaging, University Health Network, University of Toronto, Toronto, ON, Canada.
authors.forename: Martin E
authors.initials: ME
authors.lastname: Simons
mesh_terms: D005260:Female; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery*; D010529:Peritoneal Cavity / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D062666:Vascular Access Devices / Q000009:adverse effects / Q000706:statistics & numerical data*
keywords: Interventional oncology; Peritoneal ports; Surgery