Nuss procedure by thoracoscopy for minimally invasive correction of pectus excavatum

• Published in: Zhongguo xiu fu chong jian wai ke za zhi Vol. 27; no. 5; p. 599
• Main Authors: Li, Bin, Zhang, Jianhua, Guo, Yunjiu, Wang, Zhiqiang, Wang, Cheng, Song, Tieniu, Yang, Jianbao
• Format: Journal Article
• Language: Chinese
• Published: China 01.05.2013
• Subjects: Adolescent; Age Factors; Child; Child, Preschool; Female; Follow-Up Studies; Funnel Chest - pathology; Funnel Chest - surgery; Humans; Male; Minimally Invasive Surgical Procedures - instrumentation; Minimally Invasive Surgical Procedures - methods; Operative Time; Postoperative Complications - epidemiology; Retrospective Studies; Severity of Illness Index; Sternum - abnormalities; Sternum - surgery; Thoracic Wall - surgery; Thoracoscopy - methods; Treatment Outcome; Young Adult
• ISSN: 1002-1892

To summarize the effectiveness of Nuss procedure by thoracoscopy for correction of pectus excavatum. Between September 2009 and January 2012, 33 patients suffering from pectus excavatum underwent Nuss procedure by thoracoscopy. There were 26 males and 7 females, aged from 3 to 22 years (median, 9 years). There was primary operation in 32 cases and reoperation in 1 case after Ravitch procedure. Twenty-four patients had obvious clinical symptoms. The Haller index ranged from 3.3 to 50.1 (mean, 5.6). According to simplified Park classification, 25 cases were classified as symmetric type, 5 as eccentric type, and 3 as unbalanced type. Intercostal muscle tear occurred in 1 case during operation; pleural effusion, pulmonary infection, and thoracic vertebral pain occurred in 1 case, respectively after operation. The operation time ranged from 38 to 89 minutes (mean, 60.9 minutes). The intraoperative blood loss was 8-90 mL (mean, 26.2 mL). The postoperative hospitalization days were 6-12 days (mean, 7.6 days). All pa