Watanabe Atsushi, Tachibana Kazutoshi, Nakashima Shinji, Obama Takuro, Mawatari Tohru, Higami Tetsuya
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Kyobu Geka. 2010 Jun;63(6):433-7; discussion 437-9.
Minimally invasive surgery (Nuss procedure) is being accepted rapidly as a preferred method for pectus excavatum repair. This report describes single institution experience with the Nuss procedure. Patient records were reviewed for retrospective analysis. One hundred eighteen patients with pectus excavatum underwent repair by Nuss procedure. The patient age ranged in age from 4 to 20 years (average, 11 years). There were 84 males and 34 females. All patients have been completed the procedure without any intraoperative complications. The operating times ranged from 35 to 201 minutes (average, 74 minutes). Complications were pleural effusion in 4.2%, wound infection in 5.9% and displacement of the steel bar requiring revision in 5.1%. A 3-point fixation system minimized the risk of bar shifting. The minimally invasive technique has evolved into an effective method of pectus excavatum repair. Mid-term results continue to be excellent.
微创手术(努氏手术)作为漏斗胸修复的首选方法正迅速被接受。本报告描述了单机构采用努氏手术的经验。回顾患者记录以进行回顾性分析。118例漏斗胸患者接受了努氏手术修复。患者年龄在4至20岁之间(平均11岁)。男性84例,女性34例。所有患者均顺利完成手术,无任何术中并发症。手术时间为35至201分钟(平均74分钟)。并发症包括胸腔积液4.2%、伤口感染5.9%以及钢条移位需要翻修5.1%。三点固定系统将钢条移位的风险降至最低。微创技术已发展成为漏斗胸修复的有效方法。中期结果仍然优异。