This paper introduces an enhanced gravity model that incorporates a coopetition framework and a K-nearest neighbor (KNN) spatial weighting scheme to analyze the synergistic evolution of China's five major coastal port clusters. Given the ongoing restructuring of global supply chains and the increasing focus on regional port integration, this research addresses a subject of considerable contemporary relevance and practical significance. Drawing on panel data spanning 2015 to 2024, we develop an evaluation framework comprising eight key indicators and employ the entropy weight method to quantify their respective contributions. Empirical findings identify inland waterway mileage, berth capacity, and railway mileage as the most influential drivers of port cluster synergy. The analysis reveals a consistently strengthening synergistic linkage between the Bohai Rim Port Cluster and the Pearl River Delta Port Cluster, while the synergy between the Bohai Rim and Yangtze River Delta port clusters demonstrates a gradual weakening trend. This study offers a methodological advancement for assessing interactive dynamics among port groups and yields strategic insights to inform policies aimed at fostering coordinated port development.
To compare perioperative, anatomical, and functional outcomes of conventional multiport laparoscopic sacrohysteropexy and single-port laparoscopic lateral suspension in women undergoing uterine-preserving surgery for apical pelvic organ prolapse. A retrospective comparative cohort study was conducted in a tertiary referral center with 68 women with symptomatic apical pelvic organ prolapse who underwent uterine-preserving laparoscopic surgery between January 2023 and January 2025. Interventions used included conventional multiport laparoscopic sacrohysteropexy (n = 32) or single-port laparoscopic lateral suspension (n = 36). Both techniques resulted in significant improvement in apical support, with comparable changes in POP-Q point C at 12 months. The single-port lateral suspension group demonstrated significantly shorter apical operative time and reduced hospital stay. Functional outcomes improved significantly in both groups, as reflected by reductions in PFDI-20 scores and increases in FSFI scores. Recurrence rates were low and comparable between groups. However, baseline differences between groups and the non-randomized study design should be considered when interpreting these findings. Single-port laparoscopic lateral suspension may represent a feasible minimally invasive alternative to conventional multiport sacrohysteropexy, demonstrating comparable short-term anatomical and functional outcomes with potential perioperative advantages. Further prospective studies are required to confirm these findings.
Uniportal video-assisted thoracoscopic surgery (VATS) is considered the optimal access method for pneumothorax surgery. Currently, uniportal VATS is used worldwide because it requires an incision in only one intercostal space, which simplifies postoperative pain control, due to reduced acute pain, and the incidence of chronic pain is also potentially lower. It is essential to tailor the surgical technique to each individual case, ensure reliable closure of air leaks, and minimize the risk of recurrence. This article introduces the practical aspects of uniportal VATS for pneumothorax, focusing on the pitfalls. Moreover, detailed methodologies for the lateral intercostal approach for uniportal lung wedge resection, and subxiphoid uniportal bilateral lung resection are provided. During lung resection (bullectomy) for primary spontaneous pneumothorax, the reinforcement-equipped cartridge is used to prevent recurrence, and an oxidized regenerated cellulose sheet is applied as a covering material. In the case of secondary spontaneous pneumothorax, in addition to the oxidized regenerated cellulose sheet, the most appropriate reinforcement material is applied after the surgical procedure. During lung resection, the planned resection line should be marked as needed to clearly define the resection area and ensure no residual lesions are left behind. When partial lung resection is challenging, or in cases of air leakage from a pedunculated bulla, suture closure or ligation may be required. The most common approaches include direct suturing of the damaged pleura or ligating the base of the bulla. Given the condition of the underlying lung, reinforcement with covering materials is essential in all cases. This article includes numerous visual materials, including figures and videos, to illustrate the uniportal VATS technique for pneumothorax. Irrespective of the technique used, it is necessary for clinicians to undergo training, refine their skills, and select the appropriate instruments.
To explore the initial technical feasibility of 5G remote-controlled single-port robotic-assisted pneumovesical ureteroneocystostomy (Cohen procedure) in an animal model, and to provide preliminary experimental evidence for this integrated surgical approach. A healthy female juvenile Landrace crossbred pig (3-4 months old, 32 kg) was used as the experimental model. The procedure was performed at the Animal Experimental Center of Surgerii Robotics Co., Ltd., with remote control via 5G network from Fujian Children's Hospital. A snake-arm single-port robotic system was utilized to perform pneumovesical ureteroneocystostomy (Cohen procedure). Technical feasibility and parameters were evaluated. The surgery was successfully completed with total operative time of 92 min and blood loss of 6 mL. The 5G network maintained stable video transmission and real-time control throughout the procedure. No major intraoperative complications occurred, and the animal recovered uneventfully during the 24-hour observation period. Anatomical examination confirmed accurate ureteral reimplantation, patent anastomosis, and absence of urinary extravasation. This study successfully implemented 5G remote-controlled snake-arm single-port robotic-assisted pneumovesical ureteroneocystostomy (Cohen procedure) in an experimental animal model for the first time. The single-case piglet model demonstrated the initial technical feasibility and provided a proof-of-concept for its procedural feasibility under experimental conditions. It provides important technical support for minimally invasive treatment of vesicoureteral reflux in children, with promising potential for future research.
Single-port (SP) robotic operations are the next frontier of minimally invasive surgery (MIS), promising to build upon multi-port robotic and laparoscopic techniques. This study aimed to assess the safety and feasibility of SP robotic cholecystectomy, hiatal hernia repair with fundoplication, and gastrectomy. With IDE and IRB approval, 12 patients underwent cholecystectomy, hiatal hernia repair with fundoplication and gastrectomy using the single-port surgical platform. All operations were undertaken through a 1.2 cm incision at the umbilicus and the patients who underwent a gastrectomy had an additional 1.2 cm incision for the stapler. Patient perioperative data were collected prospectively. Data is reported as mean ± SD. Five patients underwent SP cholecystectomy for cholelithiasis or biliary dyskinesia. Console time was 172 ± 116.7 min, EBL was minimal. There were no conversions or intraoperative complications. There were no postoperative complications or mortalities. All patients were discharged the same day. Patient #5 was readmitted within 30 days for an aberrant side branch bile duct leak, treated with a percutaneous drain and a stent. Five patients underwent SP hiatal hernia repair with Nissen or Toupet fundoplication for GERD. Console time was 246 ± 16.0 min, EBL was minimal, there were no conversions or intraoperative complications. There were no postoperative complications, mortalities, or readmissions. All patients were discharged the following day. In the second phase, two patients underwent SP gastrectomy, one partial gastrectomy for GIST and one near total gastrectomy with D2 lymphadenectomy for gastric adenocarcinoma, without conversion or perioperative complications. Both had negative margins with adequate lymph node harvest and were discharged on postoperative days 2 and 4 respectively without readmissions. SP cholecystectomy, gastrectomy and hiatal hernia repair with fundoplication are safe and efficacious. Implementation of SP robotic surgery using the da Vinci SP platform lays the groundwork for expanding single-port robotic techniques into advanced foregut and hepatopancreatobiliary (HPB) operations.
Gliomatosis peritonei (GP) is a rare benign condition characterized by dissemination of mature glial tissue within the peritoneal cavity, most commonly associated with immature ovarian teratoma (IOT). Its radiological appearance may closely mimic malignant recurrence or growing teratoma syndrome, posing significant diagnostic and therapeutic challenges, particularly in pediatric and adolescent patients.Case:We report the case of a 12-year-old girl with a history of IOT who developed multiple peritoneal nodules after initial surgery and chemotherapy. Imaging findings raised concern for disease recurrence, while serum tumor markers remained within normal ranges. Single-port robotic-assisted surgical exploration and resection of all visible peritoneal lesions were performed. Histopathological examination confirmed mature astrocytic glial tissue with low proliferative activity, establishing the diagnosis of GP. The postoperative course was uneventful, with rapid recovery, minimal pain, and satisfactory wound healing. No recurrence was observed during 12 months of follow-up. This case highlights the importance of histopathological confirmation in distinguishing GP from malignant recurrence after IOT. Single-port robotic surgery may represent a feasible minimally invasive option for the management of multifocal GP in adolescents, offering precise resection with favorable postoperative recovery.
Minimally invasive thoracic surgery has evolved significantly over the past two decades, with robotic-assisted thoracic surgery (RATS) emerging as a leading approach due to its enhanced visualization, wristed instrumentation, and improved ergonomics. Traditional multiport RATS relies on three or four incisions, while uniportal RATS (U-RATS) offers a less invasive approach but presents technical challenges, including instrument crowding and limited stapler manoeuvrability. The development of biportal RATS (Bi-RATS) represents a balance between these techniques, offering improved ergonomics while reducing access-related trauma. This approach has been employed for diverse pulmonary resections-ranging from wedge resections in peripheral nodules to complex anatomic segmentectomies and lobectomies. This manuscript provides a comprehensive overview of Bi-RATS for lung segmentectomies, detailing patient positioning, port placement, intraoperative technique, and the role of advanced imaging adjuncts such as near-infrared fluorescence [indocyanine green (ICG)] and three-dimensional computed tomography (3D CT) reconstruction. By leveraging these advancements, thoracic surgeons can achieve improved outcomes and enhanced decision-making during complex resections. Compared to multiport RATS, U-RATS, and video-assisted thoracoscopic surgery (VATS), Bi-RATS offers improved instrument manoeuvrability, a more ergonomic stapler trajectory, and utilizes anterior port placement in such a way as to reducing intercostal nerve compression, which may lead to lower postoperative pain. It allows for a fully robotic stapling process, minimizing the need for manual staplers and excessive lung manipulation. The integration of ICG fluorescence further refines segmental plane identification, ensuring precise and safe parenchymal division. Postoperative management includes adherence to enhanced recovery after surgery (ERAS) protocols, early chest tube removal, and effective pain control, which contribute to shorter hospital stays and faster patient recovery. Despite a steep learning curve, Bi-RATS optimizes robotic thoracic surgery by enhancing surgical efficiency while minimizing access trauma. Future research should focus on long-term oncological outcomes, cost-effectiveness, and training standardization to establish Bi-RATS as a widely adopted technique in modern thoracic surgery.
Based on observational data from a coastal city in East China, this study integrates meteorological measurements and numerical modeling to identify key drivers and spatiotemporal patterns of regional atmospheric pollution. The findings indicated that the annual 90th percentile concentration of daily maximum 8-h average O3 in Beilun District reached 143.69 μg/m3 in 2022, exceeding the national Class I limit for O3. Seasonal ozone pollution peaked in spring and summer, exhibiting a distinct single-peak diurnal profile. High temperature and low humidity favored photochemical O3 formation, while wind conditions influenced O3 through both local accumulation under weak winds and regional transport under low-to-moderate sea-breeze conditions. Application of the empirical kinetic modelling approach demonstrated that ozone formation was predominantly volatile organic compound (VOC)-limited, with alkenes exhibiting the highest ozone formation potential, followed by alkanes and aromatics. Source apportionment via positive matrix factorization model identified vehicle exhaust (28.7%), solvent usage (24.3%), and oil gas evaporation (24.1%) as the principal sources of ambient VOCs. Backward trajectory analysis indicated that air masses in May were predominantly influenced by eastern marine pathways (38.71%), whereas air masses in July were characterized by transport from inland sources in southwestern Zhejiang Province (62.23%). Potential source contribution function analysis further designated port areas as high-contribution zones for ozone precursors (contribution factors > 0.8), underscoring the significant role of coastal industrial operations and shipping emissions in exacerbating local air pollution.
Single-port (SP) robotic platforms have recently been introduced in colorectal surgery to further reduce surgical invasiveness. Evidence comparing SP and multiport (MP) robotic colectomy for colonic neoplasia in routine clinical practice remains limited, particularly regarding short-term outcomes and learning-curve dynamics. This retrospective single-centre study compared consecutive patients undergoing elective SP or MP da Vinci robotic colectomy for colonic neoplasia between July 2024 and October 2025. Short-term operative, postoperative, and early oncological outcomes were analysed. Group comparisons were performed using non-parametric tests, while univariate regression models explored associations between surgical approach and outcomes. A learning-curve analysis within the SP cohort assessed changes in docking time over consecutive cases. Fifty-three patients were included (SP = 15; MP = 38), with comparable baseline characteristics. Docking time was shorter in the MP group (median SP 9 vs MP 7 min, p < 0.01), whereas overall operating time did not differ significantly (median 200 vs 227 min, p = 0.41). Conversion to open surgery occurred in 13.3% of SP and 2.6% of MP cases (p = 0.17). Major complications were observed in 6.7% of SP and 13.2% of MP patients (OR 0.47, 95% CI 0.02-3.29; p = 0.51). Length of hospital stay and early oncological parameters, including lymph node yield and resection margins, were comparable. Within the SP cohort, docking time decreased significantly with increasing experience (β - 0.76 min per case, 95% CI - 1.18 to - 0.40; p < 0.01). In this real-world experience, SP robotic colectomy for colonic neoplasia achieved short-term outcomes comparable to the MP approach, without increased perioperative risk. A rapid learning curve for docking time supports the safe early implementation of SP robotic systems in centres with established robotic expertise.
Carinal reconstruction is the primary surgical intervention for tracheal tumors involving the tracheal carina. However, the complexity of airway management and the challenges associated with invasive carina reconstruction significantly increase its operative difficulty. A 48-year-old male patient presented with a 6-month history of persistent cough. Cervical and thoracic computed tomography (CT) imaging, along with bronchoscopic biopsy, confirmed a diagnosis of tracheal adenoid cystic carcinoma (TACC), with the tumor extending to the tracheal carina and left main bronchus. The patient subsequently underwent robot-assisted carinal resection and reconstruction using a three-port approach under extracorporeal membrane oxygenation (ECMO) support. Intraoperative oxygen saturation remained stable, and the postoperative course was uneventful. This case suggests that that the combination of ECMO support and robotic assistance facilitates adequate oxygenation and enables a minimally invasive, safe and efficient approach to carinal resection and reconstruction. Further studies and broader clinical experience across multiple centers are required to validate the safety and practicality of this technique.
Uniportal robotic-assisted thoracic surgery (uRATS) has emerged as an advanced minimally invasive platform for complex pulmonary resections. However, its application to centrally located lung cancers requiring vascular reconstruction following neoadjuvant chemo-immunotherapy remains technically demanding. We present a detailed surgical technique of uniportal robotic-assisted left upper lobectomy with intrapericardial venous division, bronchial transection for exposure, and pulmonary artery (PA) resection and reconstruction in a 70-year-old male with centrally located squamous cell carcinoma. The initial clinical stage was cT4N2M0. Following four cycles of neoadjuvant chemo-immunotherapy, restaging demonstrated residual soft-tissue density closely abutting the PA, with positron emission tomography-computed tomography (PET-CT) maximum standardized uptake value (SUVmax) of 2.71, consistent with residual viable tumor. Through a 4 cm uniportal incision, intrapericardial control of the left upper pulmonary vein was achieved. Due to obliteration of the PA-bronchus plane, early bronchial transection was performed to facilitate safe arterial exposure. The apicoanterior PA trunk was resected under temporary occlusion (total clamp time 26 minutes) and reconstructed using a continuous 5-0 Prolene suture. Estimated blood loss was 100 mL, and no transfusion was required. The postoperative course was uneventful. Final pathology demonstrated a complete pathological response (ycT0N0M0). This case illustrates that, in experienced hands, uRATS can be successfully applied to complex central tumors requiring bronchovascular reconstruction after neoadjuvant therapy.
We experimentally demonstrate boundary-induced helical bulk states (BI-HBSs) for rf acoustic transport in LiNbO3 thin-film phononic crystals (∼175-200  MHz). A boundary-symmetry selection rule at an accidental Γ-point fourfold degeneracy creates interior bulk channels that couple to wide-aperture interdigital transducers without edge-aperture mismatch. Near-field vibrometry and two-port rf S parameters confirm low-loss propagation with strongly suppressed backscattering through wavelength-scale defects. The helical band also provides slow-wave, low-dispersion delay and phase control on chip.
Chronic subdural hematoma care is evolving beyond burr holes and craniotomy to minimally invasive options such as subdural evacuating port system (SEPS) and middle meningeal artery (MMA) embolization. The optimal initial strategy and role of combined SEPS and MMA remains uncertain. The aims of this study were to compare outcomes after SEPS alone, MMA embolization alone, and combined SEPS and MMA and to assess the effect of hematoma size and antithrombotic therapy on treatment durability. We conducted a retrospective cohort study of patients with chronic subdural hematoma treated at a single level 1 trauma center between January 2021 and March 2024. Patients were categorized by initial intervention (SEPS, MMA, or combined SEPS and MMA). Outcomes included treatment failure, radiographic worsening ≤6 months, clinical improvement, length of stay, and discharge disposition. Subgroup analyses were stratified by hematoma thickness (<20 vs ≥ 20 mm) and by anticoagulant (AC)/antiplatelet (AP) use, including timing of resumption. Among 220 patients (SEPS 149, MMA 31, combined 40), the median hematoma size was 20 mm and differed by treatment (SEPS 21 mm, MMA 16 mm, combined 17.5 mm; P < .001). Treatment failure occurred in 23.6% overall (SEPS 26.8%, MMA 16.1%, combined 17.5%; P = .09). The Kaplan-Meier test suggested greater durability for MMA and combined therapy (log-rank P = .088). Among smaller hematomas (<20 mm), MMA had the lowest observed failure rates, while outcomes converged for larger hematomas (≥20 mm). In the AC/AP subgroup (N = 104), MMA-based strategies trended toward lower failure rates and were associated with earlier and more frequent AC/AP resumption compared with SEPS. MMA embolization, whether performed alone or with SEPS, was associated with favorable durability and facilitated earlier AC/AP resumption. MMA alone trended toward lower failure rates in smaller collections, while combining SEPS with MMA achieved comparably durable outcomes in larger or more complex cases. Prospective, size-stratified trials are warranted to validate these findings.
Flexible antennas have emerged as essential components for next-generation wireless body-centric networks (WBSNs), healthcare monitoring platforms, and 5G-enabled IoT architectures. Nevertheless, their close placement on the human body substantially increases electromagnetic energy absorption, resulting in elevated specific absorption rate (SAR) levels and degraded radiation performance. This paper introduces an all-textile, dual-port, ultra-wideband (UWB) MIMO antenna integrated with an artificial magnetic conductor (AMC) to concurrently enhance radiation gain and mitigate SAR for wearable applications. The proposed antenna is realized on a felt textile substrate and employs conductive textile elements to ensure mechanical flexibility and seamless garment integration. Experimental characterization demonstrates that the AMC-backed configuration achieves an impedance bandwidth ranging from 3.7 to 14 GHz, a peak gain of 14.26 dBi at 4.45 GHz, and up to 98% SAR reduction under both 1-g and 10-g mass-averaging criteria. Furthermore, deformation assessments confirm that the antenna maintains robust electromagnetic performance when bent, exhibiting behavior consistent with its planar counterpart. The fabrication process is straightforward, and the measured data exhibit excellent concordance with full-wave simulations in free-space and human-body environments. These results validate the effectiveness and reliability of the proposed textile antenna for high-performance wearable and body-centric communication systems.
Superior sulcus tumors invading the chest wall and major mediastinal vessels present significant surgical challenges. The transmanubrial approach (TMA) has been widely adopted for such tumors. However, the exposure of the dorsal side, particularly of the apex of the lung, can be limited when performing a TMA alone. This hybrid approach of TMA with robotic thoracic surgery improves visualization and resection safely. The clinical significance of this hybrid approach has received little attention. Here, we report a case of post-immunochemotherapy surgery using combined robotic-assisted thoracic surgery (RATS) and a TMA to achieve safe resection and vascular reconstruction of a tumor invading the right brachiocephalic vein. A 59-year-old man was diagnosed with right upper lobe squamous cell carcinoma (cT4N0M0, stage IIIA) invading the anterior apex and mediastinal structures, including the right brachiocephalic vein. Following four cycles of immunochemotherapy (carboplatin, nab-paclitaxel, and pembrolizumab), significant tumor regression was observed, and post-immunochemotherapy surgery was planned. A RATS lobectomy was first performed, in the left lateral decubitus position, using the da Vinci Xi system with a five-port setup using port placement only, without mini-thoracotomy, which allowed detailed hilar and apical dorsal dissection. Subsequently, the patient was placed in a supine position, and the TMA was used to resect and reconstruct the invaded right brachiocephalic vein using a synthetic graft. The total operative time was 12 h and 8 min, and the total blood loss was 1,120 mL. The postoperative course was uneventful. The chest tube was removed on postoperative day 4, and no major complications such as prolonged air leak, pneumonia, or recurrent laryngeal nerve palsy were observed. And the patient was discharged on postoperative day 12. The pathological examination findings revealed that the staging was ypT2bN0M0 stage IIA. The patient has remained recurrence-free for 6 months following the surgery. This case demonstrates that a hybrid approach combining RATS and the TMA is a safe and effective strategy for the resection of superior sulcus tumors with vascular invasion. RATS enhances surgical visualization and facilitates apical dissection, thereby optimizing safety and surgical outcomes when followed with the TMA.
To investigate the clinical efficacy and safety of single-port transscrotal laparoscopic orchiopexy combined with a hernia needle (SPLT-Orchiopexy) in children with palpable middle- and low-position undescended testes. A retrospective analysis was conducted on 200 children with palpable middle- and low-position undescended testes who underwent surgical treatment at our hospital between March 2021 and April 2023. Patients were categorized into two groups according to the surgical technique used: the conventional laparoscopic surgery (CLS, n = 120) group and the SP-Orchiopexy group (n = 80). Perioperative indicators, postoperative pain assessed using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. Scar outcomes at 6 months postoperatively were evaluated using the Observer Scar Assessment Scale (OSAS) and the Patient Scar Assessment Scale (PSAS), which were compared between two groups. The incidence of postoperative complications was also compared between groups. Logistic regression analysis was performed to identify factors associated with postoperative complications. The SPLT-Orchiopexy group showed significantly shorter operative time, less intraoperative blood loss, earlier ambulation, and shorter length of hospital stay (t = 11.15-16.91, all P < 0.001). FLACC scores at 6, 12, and 24 h postoperatively were significantly lower in the SPLT-Orchiopexy group (Z = 4.67-6.91, all P < 0.001). At 6-month follow-up, both OSAS and PSAS scores were lower in the SPLT-Orchiopexy group (Z/t = 7.31-7.65, all P < 0.001). The overall incidence of postoperative complications was lower in the SPLT-Orchiopexy group (χ² = 4.68, P = 0.031). The surgical approach did not reach statistical significance as an independent predictor of postoperative complications, but it demonstrated a trend toward reduced complication risk (Wald = 1.49, P = 0.222). SPLT-Orchiopexy may provide advantages in terms of minimal invasiveness, postoperative recovery, pain relief, cosmetic outcomes, and postoperative complications in children with palpable middle- and low-position undescended testes. Further prospective studies are warranted to validate these findings.
Recent advances in robotic technology, particularly the da Vinci single-port (SP) system, have improved transcervical mediastinoscopic access by minimizing robotic arm collisions in confined spaces. This study, based on IDEAL (Idea, Development, Exploration, Assessment, Long-term) framework, describes the first consecutive da Vinci SP robotic-assisted cervical oesophagectomy (RACE) procedures in patients with oesophageal carcinoma performed at the University Hospital Mainz. Patient demographics, neoadjuvant treatment, resection margins, lymph node yield, intraoperative parameters, postoperative recovery, complications, and mortality were assessed. The study included 20 patients with primarily squamous cell carcinoma, with 70% of all patients having received neoadjuvant treatment. The surgical procedure demonstrated feasibility, evidenced by a 90% R0 resection rate and a mean(standard deviation) lymph node yield of 31(7). The mean(standard deviation) total operative time was 332(88) minutes, and the active console time was 91(48) minutes. Notably, there were no intraoperative complications or conversions. Patients experienced minimal postoperative pain, with no need for epidural or intercostal catheter analgesia; by postoperative day 5, all patients received analgesia on demand. Most patients began ambulating on the first postoperative day, and the median hospital length of stay was 8 (range 5-86) days. Postoperative complications included pneumonia in five patients and anastomotic leakage in four. Two patients died: one from fulminant pulmonary embolism and one from multiple organ failure secondary to sepsis following pneumonia and anastomotic insufficiency. The da Vinci SP system was successfully used for the first time in a clinical series of RACE procedures. SP RACE offers comparable operating times and lymph node retrieval to robotic transthoracic procedures, low postoperative pain and rapid recovery. However, the current scope of the SP RACE procedure is limited, and its outcomes warrant further prospective investigation to better define its role, refine patient selection, and evaluate long-term results.
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Central venous access devices (CVADs) are widely used in oncology patients to facilitate administration of chemotherapy and supportive treatments. However, catheter-related thrombosis (CRT) remains one of the most important complications associated with their use. Although overall CRT incidence has been extensively studied, early CRT occurring shortly after catheter implantation remains insufficiently characterized. A narrative review of the literature was performed focusing on studies evaluating CRT in oncology patients with central venous access devices. Relevant studies were identified through searches of the PubMed database and reference lists of selected articles. A total of thirteen studies published between 2005 and 2025 were included in this review. The studies consisted of randomized controlled trials, observational studies, non-randomized studies and retrospective cohort studies, with sample sizes ranging from 48 to 1331 participants. Most studies focused on peripherally inserted central catheters (PICCs), while fewer evaluated centrally inserted central catheters (CICC) or implantable ports. Reported CRT incidence varied widely depending on catheter type, ranging from 3.3% to 61.3% for PICCs, 6.5% to 49% for CICCs and 1% to 7.1% for implantable ports. Early CRT (defined as ≤ 7 days after catheter implantation) was rarely evaluated and was reported in only three studies, with incidence ranging from 2.4% to 48.39%. Across studies assessing thromboprophylaxis, overall CRT incidence ranged from 3.1% to 16.1% in control groups and from 0.4% to 14.1% in intervention groups. CRT remains a clinically relevant complication in oncology patients requiring central venous access. Available evidence suggests substantial variability in thrombosis incidence across catheter types, with generally higher rates observed in PICCs compared with implantable ports. Data on early CRT remain limited and heterogeneous, underscoring the need for prospective studies specifically addressing early thrombotic events following catheter implantation. Improved risk stratification and standardized approaches to prevention and management may enhance clinical outcomes.