Ran Xudong,Xu Yonggen,Liao Jianyi,et al.Clinical study of pectus excavatum by nonthoracoscopic assisted Nuss procedure.[J].Journal of Clinical Pediatric Surgery,,17():286-289.
Clinical study of pectus excavatum by nonthoracoscopic assisted Nuss procedure.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 04
Page:
286-289
Column:
论著
Date of publication:
2018-04-28
- Keywords:
- Funnel Chest; Nuss Procedure; Postoperative Complications; Therapy; Child
- Document code:
- A
- Abstract:
- ObjectiveTo summarize our experiences of correcting pectus excavatum (PE) through Nuss procedure without thoracoscopic assistance.MethodsFrom March 2011 to March 2016，42 PE patients underwent Nuss operation.There were 36 boys and 6 girls with an age range of 36 to 182 months.The preoperative CT Hailer index was≥3.4(4.36±0.63).Chest walls were symmetrical (n=30) and asymmetrical (n=12).Electrocardiogram was abnormal in 14 patients.All skin incisions were made bilaterally and introducers were placed from the right incision to the left.One bar was installed.Stabilizing clips were placed at the right side in 25 cases and the others bilaterally.Bar and stabilizing clips were also secured at the periost of rib with wire sutures.ResultsOperations were performed successfully in 42 patients.The mean procedural duration was (70.98±12.1) min and the mean postoperative hospitalization stay (7.24±0.85) days.Thirtynine cases achieved the expected results while another 2 cases failed.Bar displacement (n=1) and allergic reactions (n=2) occurred.ConclusionNuss procedure can guarantee satisfactory outcomes and surgical safety with faster recovery and minimal trauma in PE patients.
Last Update:
2018-04-25