Observational studyBMC surgery2026
Safe and effective ultrasound-guided right IJV chemoport insertion by a BREAST Surgeon in Nepal.
Observational study in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUltrasound-guided chemoport insertion reduces mechanical and infectious complications compared with the landmark-based (blind) insertion technique. However, data are limited from low-resource settings where breast surgeons commonly perform the procedure. MATERIALS AND
methodsThis prospective observational study evaluated the safety and outcomes of ultrasound-guided right internal jugular vein (RIJV) chemoport insertion performed by a breast surgeon at a single center in Nepal (November 2023 – May 2025). All procedures were performed in an operating theatre under local anesthesia using a standardized ultrasound-guided Seldinger technique.
resultsAmong 146 patients scheduled for chemotherapy, 121 patients with breast cancer (mean age 48 ± 11 years; 121 female) underwent successful chemoport implantation (100% cannulation success). Indications were neoadjuvant (40%), adjuvant (59%), and palliative (1%) chemotherapy. No intraoperative complications (e.g., pneumothorax, arterial puncture, hemothorax) occurred. Late complications (5.0%) included port pocket infection (0.8%), port exposure due to skin tension (1.7%), and catheter blockage from delayed flushing (2.5%).
conclusionUltrasound-guided RIJV chemoport insertion by a trained breast surgeon is a safe and highly effective procedure with a low complication profile in a resource-limited setting. This supports the integration of this skill into surgical oncology practice, where interventional radiology access is constrained.
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