Thoracoscopic sternal elevation by a steel bar inserted for the correction of pectus excavatum in children
- VernacularTitle:胸腔镜下钢板植入胸骨抬举术治疗小儿漏斗胸
- Author:
Yonggen XU
;
Hongjun XU
;
Qinglin SUN
- Publication Type:Journal Article
- Keywords:
Pectus excavatum;
Thoracoscope;
Nuss procedure
- From:Chinese Journal of Minimally Invasive Surgery
2005;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate effects of thoracoscopic sternal elevation by using a steel bar(Nuss procedure) in the treatment of pectus excavatum in children.Methods Under the assistance of thoracoscopy,a substernal tunnel was created using a blunt dissector via a right thoracic incision.Then a steel bar was inserted under the sternum.After the bar was placed in position,it was turned over to elevate the deformed sternum and the anterior chest wall.Results The operation was completed successfully in all the 11 cases.The operating time ranged 50~85 min(mean, 67 min).The intraoperative blood loss ranged 5~20 ml(mean,10 ml).The surgical outcomes were classified as "excellent" in 9 cases,"good" in 1 case,and "fair" in 1.Follow-up observations for 2~15 months(mean,6.4 months) in 8 cases showed satisfactory appearance.Conclusions Thoracoscopic Nuss procedure for pectus excavatum in children is a minimally invasive technique with limited surgical trauma,minimal blood loss,simple performance,rapid recovery,and good cosmetic results,being worthy of recommendation.
