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- Title
青少年鸡胸的微创手术治疗探讨.
- Authors
冉旭东; 沈维嘉; 李炘; 廖健毅; 袁洪樑; 王淏; 吴松华
- Abstract
Objective To explore the surgical approaches, outcomes and complications of mini-invasive inverted Nuss procedure for correcting pectus carinatum (PC) in children. Methods From July 2020 to December 2021, retrospective anlysis was performed for clinical data of mini-invasive inverted Nuss procedure for correcting PC.There were 14 boys and 1 girl with a median age of 19.6(141-180) month and a median weight of 44(36-55) kg.Hailer index had a median value of 1.94(1.76-2.24).Steel bar was pressed anteriorly onto sternum via a lateral thoracic incision and fixed with steel wires.Inverted Nuss procedure was performed alone (n=9) and with Nuss procedure (n=6). Results All procedures were successfully completed without intraoperative complications.The median operative duration was 100(70-225) min and the length of postopretive stay (5-7) day.The bar was implanted for 1.5 years.Follow-ups were conducted at Month 1/3/6/12.One case recurred due to sternal callapse at Month 1 post-operation.Another child was reoperated for break of steel wire during vigorous exercise at Month 3 post-operation. Conclusion Inverted Nuss procedure may correct PC with minimal injury and a quick recovery.Its middle/long-term outcomes should be evaluated by a larger sample size and longer follow-ups.
- Publication
Journal of Clinical Pediatric Surgery, 2023, Vol 22, Issue 6, p529
- ISSN
1671-6353
- Publication type
Article
- DOI
10.3760/cma.j.cn101785-202210052-006