Darlong Laleng M
Department of Thoracic Surgery and Thoracic Oncology, Chest Wall Deformity Clinic, Fortis Hospital, Noida, Delhi NCR, India.
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):233-6. doi: 10.1093/icvts/ivt206. Epub 2013 May 9.
The Nuss procedure for pectus excavatum involves the risk of cardiac injury during the creation of the retrosternal tunnel and during bar introduction or removal across the tunnel. A modified novel real-time technique for the safe introduction of the Nuss bar across the crucial retrosternal tunnel blind spot during introduction and removal is described.
In 2012, we devised a technique for real-time endovision-guided introduction of the Nuss bar called pectus tunneloscopy. Between February 2012 and December 2012, 6 patients with pectus excavatum had their bar introduced across the tunnel using this technique.
This technique provided safe introduction and removal of the bar during the multiple times the bar is remodelled before final fixation.
Pectus tunneloscopy is a real-time endovision surgical technique, providing safe introduction of the bar across the crucial retrosternal tunnel blind spot.
漏斗胸的努斯手术在胸骨后隧道创建过程中以及在横杆穿过隧道置入或取出时存在心脏损伤风险。本文描述了一种改良的新型实时技术,用于在横杆置入和取出过程中安全穿过关键的胸骨后隧道盲点。
2012年,我们设计了一种名为漏斗胸隧道镜检查的实时内镜引导下置入努斯横杆的技术。在2012年2月至2012年12月期间,6例漏斗胸患者使用该技术将横杆穿过隧道。
该技术在横杆最终固定前多次重塑过程中提供了横杆的安全置入和取出。
漏斗胸隧道镜检查是一种实时内镜手术技术,可安全地将横杆穿过关键的胸骨后隧道盲点。