Nuss procedure for the correction of pectus excavatum by using double braces in adolescence
10.3760/cma.j.issn.1001-4497.2011.05.012
- VernacularTitle:双支架Nuss手术治疗青少年漏斗胸
- Author:
Quan LIU
;
Jianjun WANG
;
Feng ZHAO
;
Wei ZHAI
;
Huizhi YAN
- Publication Type:Journal Article
- Keywords:
Pectus;
excavatum;
Stent;
Adolescence;
Nuss;
procedure
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2011;27(5):291-292
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the indication, feasibility and technique of minimally invasive nuss procedure with thoracoscope by using double braces in the treatment of wide-scope pectus excavatum repairing in adolescence. Methods 31 patients including 24 boys and 7 girls, suffered from pectus excavtum were corrected by nuss procedure under thoracoscope.The average age was (15.32 ± 3.89)years (ranged, 14 years and 18 years). All cases were moderate to severe degree according to Hallar index with depression scope of 4 ribs or more. A couple of braces of two-point or multipoint fixation for thoracoscopic-assisted nuss procedure were used. Results The procedure was successfully completed under thoracoscopy in all patients. Double braces were utilized in 27 cases, double are bars were required in 4 cases, and multipoint fixations were in 6 patients. The postoperative hospital stay was 5-11 days [average, ( 7.48 ± 1.95 ) days]. The duration of following up was one month to three years. The perioperative complications included intraoperative hemorrhage in 2 patients, bar invertion with displacement in 1, and interrupted pain for two months in 1. All patients recovered after expectant treatment. Conclusion Nuss procedure with double braces for the correction of a large area of asymmetric pectus excavatum under thoracoscopy is safe and effective technique for adolescence.
