Totally implantable venous access device inserted during major abdominal operations for cancer. A new technique

Totally implantable venous access devices are usually implanted by surgical cut-down technique or by percutaneous approach, after a first surgical pro cedure, The authors describe a new surgical approach utilizing the right go nadal vein or the vena cava for totally implantable venous access device pl acement in patients submitted to major digestive surgical procedures for tu mors. This new surgical approach allows one to avoid a second operative pro cedure.