Application of cross bar technique in repair of pectus excavatum
- VernacularTitle:交叉钢板技术在漏斗胸矫形手术中的应用
- Author:
Tianjun ZHOU
1
;
Dan TIAN
1
;
Ruiqing SHI
1
;
Zihao ZHOU
1
;
Jiming TANG
1
;
Dongkun ZHANG
1
;
Xiaosong BEN
1
;
Guibin QIAO
1
;
Gang CHEN
1
;
Liang XIE
1
Author Information
1. Department of Thoracic Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, P. R. China
- Publication Type:Journal Article
- Keywords:
Pectus excavatum;
Nuss procedure;
cross bar technique;
rib flare
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(11):1572-1578
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the indication, surgical technique, and clinical efficacy of the cross bar based on the Nuss procedure in pectus excavatum. Methods The clinical data of patients who underwent cross bar based on the Nuss procedure from August 2023 to August 2024 in Guangdong Provincial People's Hospital were retrospectively analyzed. Results A total of 88 patients including 85 males and 3 females with a mean age of (17.56±5.20) years were enrolled. All operations were performed successfully without intraoperative cardiac injury, pericardial injury or diaphragmatic injury. The mean operation time was (147.65±47.75) min. The mean blood loss was (13.30±9.06) mL. The mean postoperative hospitalization stay was (4.81±1.55) days, without perioperative death. Six (6.82%) patients developed early postoperative complications, including 3 patients of pleural effusion, 1 patient of subcutaneous hematoma, 1 patient of suffocation and 1 patient of bar rotation. The postoperative outcomes were excellent in 71 (80.68%) patients, good in 16 (18.18%) patients and moderate in 1 (1.13%) patient. The excellent and good rate was 98.86%. Conclusion The cross bar technique is safe and convenient, with satisfactory results. It is worth promoting in clinical application.
