Modified Nuss procedure for the treatment of pectus excavatum: Experience of 259 patients

被引：4

作者：

Li, Hao ^{[1
]}

Wang, Feng ^{[1
]}

Ji, Guangyu ^{[1
]}

Teng, Jiping ^{[1
]}

Liang, Xi ^{[1
]}

Liang, Xiang ^{[1
]}

Ni, Da ^{[1
]}

Zhu, Zhijun ^{[1
]}

Wu, Jinlong ^{[1
]}

Guan, Xin ^{[1
]}

Li, Guoqing ^{[1
,2
]}

Wang, Mingsong ^{[1
,2
]}

机构：

[1] Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Dept Thorac Surg, Sch Med, Shanghai, Peoples R China

[2] Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Dept Thorac Surg, Sch Med, 639Zhizaoju Rd, Shanghai 200011, Peoples R China

来源：

ASIAN JOURNAL OF SURGERY | 2023年 / 46卷 / 02期

关键词：

Minimal invasive surgery; Nuss; Pectus excavatum; SURGERY;

D O I：

10.1016/j.asjsur.2022.06.080

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Pectus excavatum is not rare in China. Many treatments for this disease have proved to have many shortcomings. Nuss procedure has been a ground-breaking technology, but it also has some dis-advantages. Hence, this study was conducted to review our experience in the use of modified Nuss procedure in our hospital. Methods: Data from 259 patients suffered from pectus excavatum between August 2020 and August 2021 who were treated with modified Nuss procedure was analyzed retrospectively. Result: Age was from 3 to 37 years. The average was 15.54 years. The male was 213 cases and the female was 46 cases. The time patients or their family members found pectus excavatum varied. 10 cases had been repaired previously when patients were admitted in our hospital. The clinical symptoms also varied. Each case had an improvement in Haller index. The average of the postoperative hospitalization was 3.97 days. Most cases were inserted 1 bar. Complication rate was also very low. All patients or their parents or their guardians were satisfied with the appearance of the chest wall after operation. There was no death in the whole observation period. Conclusion: From our experience, this modified Nuss procedure have obtained optimistic outcomes with more minimal invasion and low complication rate. This surgical method may be applied to many other hospitals in the future. (c) 2023 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/).

引用

页码：692 / 697

页数：6

共 21 条

[1] Correction of Pectus Excavatum by Custom-Made Silicone Implants: Contribution of Computer-Aided Design Reconstruction. A 20-Year Experience and 401 Cases [J].