Surgical oncology

Chemotherapy port placement

What is a chemotherapy port?

A chemotherapy port is a small, implantable reservoir that connects to a vein via a thin silicone tube. The key benefit of this vein-access device is that chemotherapy drugs can be given directly into the port rather than into a vein, avoiding needle jabs. The port is always in the same place and can be easily identified. This will usually require only one prick with a needle. By nature, chemotherapy usually causes the hardening of your veins, and it is better to administer these drugs into a big central vein that is not prone to injury and hardening by the chemotherapy.

If their medical team recommends it, many people who get chemotherapy choose to have a port inserted. The catheter is inserted fully beneath the skin. It connects to a small plastic or metal disc or port. The port is also inserted beneath the skin. You might notice or feel a little lump on the port's side. There are no lines or catheters that exit your body.

To access the port and the venous access line, a specialised needle is introduced through your skin into the port, and this gives access to any intravenous therapy needed. When removing the needle, a specialised solution to keep your chemotherapy access port open will be introduced. Once the chemotherapy port is not needed anymore, it can be left in place for later use or removed with a small surgical procedure.

Where is the chemotherapy port implanted?

A chemo port is usually inserted under the skin in the middle of the upper chest near a prominent vein. This is a viable alternative to an intravenous (IV) catheter inserted into a vein in the arm or hand (a suitable IV site can sometimes be challenging to find). A port can provide a safer and more efficient medicine delivery mechanism than an IV because it is easily accessible by the patient's care team. A port will leave a noticeable, quarter-sized "bump" under the skin, but it can be readily hidden with typical clothing.

The benefit of a chemotherapy port over an IV Catheter:

In comparison to an IV catheter, a port can give various significant benefits in addition to the delivery of chemotherapy medications:

  • A sterile approach is used to prepare a port site, ensuring that all surfaces are devoid of germs and therefore considerably reducing the chance of infection (an IV site is ready with a clean but nonsterile technique).
  • A port can also give fluids and transfusions, take blood for laboratory testing, and inject dye for PET and CT scans.
  • A port lowers the chance of drugs coming into contact with subcutaneous tissue and causing irritation.
  • A port can be used to deliver therapies over several days.


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FAQ

1How long does it take to heal from a chemotherapy port?
After the port is implanted, it will take 10 to 14 days for you to heal.
2How do you maintain a chemotherapy port?
After a shower, pat the area dry. Do not scrub the surface. To keep the chemotherapy port functional, it will be flushed with fluid after each use. If your port isn't in use, you can choose to have it removed. This will require a small surgical procedure. If there is a good reason to keep the port in, such as possible subsequent therapies, or very difficult venous access, it will need to be flushed every four weeks.
3What can you expect from a chemotherapy port?
For 1 or 2 days after the procedure, you may feel uncomfortable and swollen around the area where the port was inserted.