Is ultrasound guidance necessary to avoid complications in the implantation of venous access ports?/Venoz erisim portlarinin implantasyonunda komplikasyonlari onlemek icin ultrason kilavuzlugu gerekli midir?

BACKGROUND: The aim of this study was to present demographic information of patients undergoing totally implantable venous access port (TIVAP) implantation and to investigate the rates of early and late complications, assessing the benefits of performing the procedure underUS guidance. METHODS: From May 2018 to December 2023, the outcomes of a total of 537 TIVAP implantation procedures were analyzed retrospectively. Data of the surgeons' experiences for both puncture methods (anatomical landmarks and ultrasound guidance) are presented in the study. RESULTS: The average age of the patients was 53.1 [+ or -] 11.9 years, and 261 (48.6%) were female. The right subclavian vein was the preferred insertion site. Fourteen patients developed early complications and 11 developed late complications. Arterial puncture was the most common early complication, while catheter-related infection was the most common late complication. The age, sex, and body mass index of the patients were not independent risk factors for developing complications. Early complications increased as the number of puncture attempts did (p=0.034) and developed significantly less when ultrasound guidance was used during insertion (p=0.0ll). CONCLUSION: The risk of developing complications was not affected by patient's age or sex. In addition, body mass index was not shown to be an independent risk factor for patients developing complications. It may be concluded from the study that early complications in particular can be reduced with ultrasound-guided implantation. Keywords: Chemotherapy; complication; totally implantable venous access port; ultrasound. AMAC: Bu calismanin amaci, tamamen implante edilebilir venoz erisim portu (TiVAP) implantasyonu yapilan hastalarin demografik bilgilerini sunmak, erken ve gec komplikasyon oranlarini arastirmak ve islemin ultrasonografi (US) kilavuzlugunda yapilmasinin faydalarini degerlendirmektir. GEREC VE YONTEM: Mayis 2018 ile Aralik 2023 tarihleri arasinda 537 TIVAP implantasyon prosedurunun sonuclari retrospektif olarak analiz edildi. Calismada cerrahlarin her iki ponksiyon yontemi (anatomik isaretler ve ultrason kilavuzlugu) icin deneyimlerine iliskin veriler sunulmustur. BULGULAR: Hastalarin ortalama yasi 53.l [+ or -] ll.9 yildi ve 261'i (%48.6) kadindi. Sag subklavyen ven tercih edilen giris yeriydi. On dort hastada erken komplikasyon ve 11 hastada gec komplikasyon gelisti. Arteriyel ponksiyon en sik gorulen erken komplikasyon iken, kateterle iliskili enf