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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2025; 17(10): 109407
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.109407
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.109407
Image and intracavitary electrocardiogram-guided arm port placement in colorectal cancer: A retrospective comparative study
Gui-Lan Xie, Chao Gao, School of Nursing, Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China
Gui-Lan Xie, Jing Heng, Qian Li, Rui Chang, Nan Zhang, Ling-Ling Xie, Chao Gao, Department of Oncology, Xuzhou Medical University, The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China
Xiu-Fen Jia, Nursing Clinic, Xuzhou Medical University, The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China
Co-first authors: Gui-Lan Xie and Jing Heng.
Co-corresponding authors: Ling-Ling Xie and Chao Gao.
Author contributions: Xie GL and Heng J conceptualized and designed the study, performed data collection and statistical analysis, drafted, and revised the manuscript, they contributed equally to this article, they are the co-first authors of this manuscript; Jia XF coordinated nursing protocols and patient follow-up procedures, contributed to data collection; Li Q, Chang R, and Zhang N participated in patient recruitment, clinical procedures, and outcome assessment; Xie LL and Gao C supervised the study design and implementation, provided clinical oversight, and critically revised the manuscript, they contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors approved the final version and agree to be accountable for all aspects of the work.
Supported by the Affiliated Hospital of Xuzhou Medical University, No. 2024ZH04; and Xuzhou Municipal Science and Technology Bureau, No. KC23282.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the Affiliated Hospital of Xuzhou Medical University, approval No. XYFY2024-KL084-01).
Informed consent statement: The requirement for individual informed consent was waived due to the use of de-identified data and the minimal-risk nature of the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chao Gao, School of Nursing, Xuzhou Medical University, No. 209 Tongshan Road, Yunlong District, Xuzhou 221000, Jiangsu Province, China.
Received: June 17, 2025
Revised: July 22, 2025
Accepted: September 2, 2025
Published online: October 27, 2025
Processing time: 128 Days and 16.4 Hours
Revised: July 22, 2025
Accepted: September 2, 2025
Published online: October 27, 2025
Processing time: 128 Days and 16.4 Hours
Core Tip
Core Tip: This study demonstrates that combining image pre-measurement with intracavitary electrocardiogram positioning significantly improves the accuracy, efficiency, and safety of arm port implantation in colorectal cancer patients. Compared with traditional anatomical landmark methods, this technique reduces operation time, X-ray exposure, and catheter-related complications. It is particularly beneficial for high-risk groups such as female patients, those with high body mass index, and advanced-stage tumors. The findings support broader clinical adoption of this technique to enhance vascular access outcomes in oncology care.