Modified twin-incision thoracoscopic Nuss procedure for pectus excavatum: a report of 50 cases
10.3760/cma.j.issn.1001-4497.2019.06.007
- VernacularTitle:双切口胸腔镜辅助Nuss手术矫治50例儿童漏斗胸治疗体会
- Author:
Jun BIAN
1
;
Weidong SHI
;
Aihui ZHANG
Author Information
1. 西安市儿童医院西安交通大学附属儿童医院普外一科 710003
- Keywords:
Pectus excavatum;
Twin-incision thoracoscopic;
Thoracoscopy;
Nuss Procedure
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(6):349-353
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy of modified twin-incision thoracoscopic Nuss procedure for pediat-ric pectus excavatum.Methods A retrospective review was performed for the clinical data of 50 cases of pectus excavatum from July 2017 to May 2016.There were 30 boys and 20 girls with an average age of 6.5( 3.3-16.0) years.All of them un-derwent modified twin-incision thoracoscopic Nuss procedure.Average haller index was 3.0-6.9.Pectus excavatum 35 cases , asymmetric pectus excavatum 15 cases.Results 50 cases procedures were successfully completed .Operative duration was( 60 ±15) min, intraoperative blood loss( 5 ±2) ml, without serious complications during and after operation, and the average postoperative hospitalization stay(6 ±1) days, the postoperative effect was successfully, during follow-up from 7 months to 17months after the operation.Conclusion Modified twin-incision thoracoscopic Nuss procedure with is both safe and effective for pediatric pectus excavatum.With the advantages of shorter operative duration,mini-invasiveness,fewer complications and excellent cosmetics,it is worthy of wider popularization.
