Thoracoscopic Nuss procedure for the correction of pectus excavatum in 38 children
- VernacularTitle:胸腔镜下Nuss手术治疗小儿漏斗胸38例报告
- Author:
Shaotao TANG
;
Yong WANG
;
Yongzhong MAO
- Publication Type:Journal Article
- Keywords:
Pectus excavatum;
Nuss procedure;
Thoracoscopy
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy and safety of the Nuss procedure in the treatment of pectus excavatum in children. Methods The Nuss procedure was performed in 38 patients.Under thoracoscopy,a convex steel bar was inserted under the sternum through small bilateral thoracic incisions,with the convexity facing posteriorly.When the bar was in position,it was turned over,thereby correcting the deformity.Two lateral stabilizing bars were employed.Out of the 38 patients,imported bars were used in 5 patients and China-made bars were used in 33 patients.Results The procedure was completed under thoracoscopy smoothly in all the 38 patients.The operating time was 40~80 min(mean,50 min) and the intraoperative blood loss was 5~30 ml(mean,16 ml).A single bar was utilized in 36 patients,and a second bar was required in 2.Complications included postoperative pneumothorax in 4 patients,subcutaneous emphysema in 16 patients,bar displacement in 1 patient,and lateral stabilizer dislocation in 1 patient.The length of postoperative hospital stay was 7~21 days(mean,8 days).Follow-up checkups in the 38 patients for 3~22 months(mean,11 months) showed excellent outcomes in 36 cases and good outcomes in 2 patients,the rate of excellent or good results being 100%. Conclusions The Nuss procedure is safe and reliable for the treatment of pectus excavatum in children.The best age range for surgery was 3~12 years old.
