Keywords
Central venous catheter (CVC)
Post-radical gastrectomy
Submitted : 2025-08-06
Accepted : 2025-08-21
Published : 2025-09-05
Abstract
Objective: Patients after radical gastrectomy often require medium- to long-term intravenous therapy. However, traditional central venous catheters (CVCs) have issues such as high infection risk and poor comfort. This study aims to deeply explore the clinical application value of peripherally inserted central catheters (PICCs) after radical gastrectomy, providing a scientific basis for optimizing intravenous access selection. Methods: Fifty patients requiring catheterization after radical gastrectomy at the Friendship Hospital of Ili Kazak Autonomous Prefecture from December 2022 to May 2024 were selected. Catheterization site selection was based on patients’ preferences, dividing them into two groups: the experimental group receiving PICCs and the control group receiving CVCs, with 25 patients in each group. Multi-dimensional comparative analysis was conducted, including catheterization operation time, catheter indwelling time, success rates of first and second catheterizations, and complication rates. Statistical methods such as t-tests and chi-square tests were used for in-depth analysis. Results: Compared to the control group, the experimental group had longer catheterization operations and catheter indwelling times, and a higher success rate of first catheterization (P < 0.05). The incidence of catheterization complications in the experimental group was 12.00%, lower than the 40.00% in the control group (P < 0.05). Conclusion: Although PICC catheterization after radical gastrectomy has relatively longer catheterization operation and indwelling times, it has a high success rate of first catheterization and a low complication rate, demonstrating high clinical application value and worth promoting in clinical practice.
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