The Nuss procedure for complicated pectus excavatum

VernacularTitle:Nuss手术矫治复杂漏斗胸95例
Author: Liang XIE ; Gang CHEN ; Jiming TANG ; Xiaosong BEN ; Haiyu ZHOU ; Pu XIAO ; Zihao ZHOU ; Xiong YE ; Dongkun ZHANG
Publication Type:Journal Article
Keywords: Funnel chest; Miniwally invasive surgical proceduras; Thoracoplasty; Nuss procedue
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2011;27(11):648-650
CountryChina
Language:Chinese
Abstract: Objective To summarize the experiences of Nuss procedure for complicated pectus excavatum.Methods From August 2006 to July 2011,443 patients with pectus excavatum received Nuss operation.Among them,95 patients with complicated pectus excavatum (CT Haller index ＞ 6) received modified technique of Nuss procedure,including multi-bar technique,oblique placed bar,double arc bar technique; fix with wire ; osteotomies ; auxiliary small incision; thoracoscopy placed by different lateral.Results All operations were successfully accomplished without severe complications.The mean operative time was (90.13 ± 39.12 ) minutes and the mean volume of blood loss was (45.41 ± 19.23 )ml.The mean hospital stay was (7.21 ± 2.87 ) days.All patients have been satisfied with their surgical correction.Therapeutic results evaluation was excellent in 75.8％ of patients,good in 16.8％.Conclusion Multi modified technique of Nuss procedure can lead to a satisfactory outcome for complicated pectus excavatum patients.