Clinical efficacy of thoracoscopy-assisted modified Nuss procedure in children with pectus excavatum: A retrospective analysis in a single center
- VernacularTitle:胸腔镜辅助改良Nuss手术治疗儿童漏斗胸临床疗效的单中心回顾性分析
- Author:
Shaolin TAO
1
;
Poming KANG
1
;
Yonggeng FENG
1
;
Chunshu FANG
1
;
Licheng WU
1
;
Bo DENG
1
;
Qunyou TAN
1
Author Information
1. Department of Thoracic Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China
- Publication Type:Journal Article
- Keywords:
Pectus excavatum;
children;
Nuss operation;
thoracoscopy-assisted surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(06):867-872
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy of thoracoscopy-assisted modified Nuss procedure for pectus excavatum (PE) in children. Methods The clinical data of patients with PE who underwent thoracoscopy-assisted modified Nuss procedure from October 2013 to October 2020 in Daping Hospital were retrospectively analyzed. Results A total of 86 patients were collected, including 79 males and 7 females with a mean age of 14.03±3.36 years. The operations were performed successfully in all patients without intraoperative cardiac vascular injury or perioperative death. The mean operation time was 87.30±33.45 min, bleeding volume was 19.94±14.60 mL, and the postoperative hospitalization stay time was 6.89±2.59 d. Early postoperative complications included 2 patients of pneumothorax, 2 patients of wound fat liquefaction and infection, 2 patients of bar flipping and displacement. One patient had bar displacement 1 year after the surgery. The total complication rate was 8.14%. All patients were followed up for 3-42 months. The bars were taken out about 36 months after the surgery. According to the evaluation criteria of orthopedic effect, 68 (79.07%) patients were excellent, 10 (11.63%) patients were good, 5 (5.81%) patients were moderate and 3 (3.49%) patients were poor. Conclusion Minimally invasive and individualized shaping via the Nuss procedure for PE children is safe and convenient, with satisfied effect. It is worthy of popularization in the clinic.
