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  • Title: One port laparoscopic technique for interval placement of intraperitoneal chemotherapy port under direct visualization.
    Author: Lin SN, Xu Y, Hamed AH, Del Priore G.
    Journal: Surg Laparosc Endosc Percutan Tech; 2012 Feb; 22(1):e12-4. PubMed ID: 22318068.
    Abstract:
    PURPOSE: 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.
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