Treatment of bifid ribs by gasless endoscopy using lift device
10.3760/cma.j.cn112434-20210805-00253
- VernacularTitle:应用悬吊腔镜技术治疗肋骨分叉畸形
- Author:
Chenghao CHEN
1
;
Qi ZENG
;
Na ZHANG
;
Jie YU
;
Dong YAN
;
Changqi XU
;
Dingyi LIU
;
Qian ZHANG
;
Xu ZHANG
;
Jihang SUN
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院胸外科，北京 100045
- Keywords:
Bifid rib;
Gasless laparoscopy;
Minimally invasive surgery
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(10):604-608
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Gasless laparoscopic surgery using lifting device was first introduced in 1993 mainly for general surgery and gynecology. Here we report its application in bifid rib treatment and explore the feasibility and safety of the surgery.Methods:From July 2008 to December 2019, according to the enrollment criteria, 278 patients of bifid ribs were treated at the Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, including 183 males and 95 females, the mean age was(5.7±2.5) years old. There were 242 cases of single bifid rib and 36 cases of multiple bifid ribs. The bifid ribs were more common on the right side, as 184 cases had bifid ribs on right side, while only 68 cases on the left side and 26 cases on both sides. Patients’ clinical data were retrospectively summarized and analyzed, including the patients’ gender, age, location and type of bifid rib, perioperative outcome, and follow-up.Results:All the 278 patients successfully completed the operation. The abnormality was most frequently found in the fifth rib(incidence ranking: fifth > fourth > third > sixth). The mean operation time was(64.5±16.1)min, and the mean blood loss was(4.8±2.1)ml. No serious complications occurred during the surgery. Follow-up was done for 7 to 120 months, and no recurrent patients were observed.Conclusion:Gasless endoscopy with lifting device has been used as a safe and effective method to treat bifid ribs in our hospital. This surgery leads to less injury, smaller incision, and no scars on the front chest. Gasless endoscopic surgery with lifting device can be one of the options for correcting bifid ribs.
