Discussion on controversial points of surgical treatment of pectus excavatum
- VernacularTitle:漏斗胸手术治疗的争议点探讨
- Author:
Xing LI
1
,
2
;
Xiao LIANG
1
,
2
;
Tao JIANG
1
,
2
;
Lijun HUANG
1
,
2
;
Lei WANG
1
,
2
Author Information
1. Department of Thoracic Surgery, Tangdu Hospital, Air Force Military Medical University, Xi an, 710038, P. R. China
2. Chest Wall Surgery Professional Committee of Shaanxi Provincial Health Association, Xi an, 710038, P. R. China
- Publication Type:Journal Article
- Keywords:
Pectus excavatum;
Haller index;
cardiopulmonary function;
orthopedic surgery;
complications
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(10):1376-1383
- CountryChina
- Language:Chinese
-
Abstract:
Pectus excavatum (PE) is a common congenital chest malformation in children, manifested by inward depression of the anteriorthorax wall, which can compress the normal tissues and organs in the chest and cause adverse effects on the physiology and psychology of patients. Surgery is the most important means of treating PE, and with the invention of Nuss surgery, the surgical treatment of PE has entered the minimally invasive era. At present, there are many indexes to evaluate the severity of thoracic malformations in PE patients, and selecting appropriate evaluation indexes is of great significance for the formulation of surgical protocols. As a physical and mental disease, PE's deformed thoracic appearance not only affects the function of thoracic organs, but also affects the psychological state of patients. Therefore, there is still controversy over whether the role of orthopedic surgery is to improve function or cosmetic plastic surgery. At the same time, the orthopedic efficacy and postoperative complications of the existing modified and novel surgical methods need to be further observed and evaluated. In addition, the design of surgical plan and the selection of surgical timing for PE combined with other diseases are also critical and controversial issues in clinical practice. Therefore, this article explores and reviews the controversial points in the current surgical treatment of PE.
