Liu Wenliang, Kong Demiao, Yu Fenglei
Department of Thoracic Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013 Aug;38(8):848-52. doi: 10.3969/j.issn.1672-7347.2013.08.015.
To summarize the curative effect, safety and experience of non-thoracoscopic modified Nuss procedure for correction of pectus excavatum (PE).
From January 2007 to December 2011, 267 cases of PE patients were selected in our hospital. Among them 85 were treated by thoracoscopic minimally invasive modified Nuss Procedure and 182 by non-thoracoscopic procedure. The operation time, blood loss during operation, length of postoperative hospital stay and effect of treatment were compared retrospectively.
All the 267 patients finished the repair procedure smoothly. The non-thoracoscopic group had advantage in terms of operative time (22.5 min vs 35.1 min, P<0.05). As for the blood loss during operation, length of postoperative hospital stay and effect of treatment, there was no significant difference among the 2 groups (P>0.05). There were no deaths.
Non-thoracoscopic minimally invasive modified Nuss procedure is as safe and effective as thoracoscopic Nuss procedure. With advantages of simplified operation procedure and shorter operation time, it is easier in practice.
总结非胸腔镜改良Nuss手术治疗漏斗胸（PE）的疗效、安全性及经验。
选取2007年1月至2011年12月我院收治的267例PE患者，其中85例行胸腔镜微创改良Nuss手术，182例行非胸腔镜手术。回顾性比较两组手术时间、术中出血量、术后住院时间及治疗效果。
267例患者均顺利完成修复手术。非胸腔镜组手术时间更短（22.5分钟对35.1分钟，P<0.05）。两组术中出血量、术后住院时间及治疗效果比较，差异无统计学意义（P>0.05）。无死亡病例。
非胸腔镜微创改良Nuss手术与胸腔镜Nuss手术同样安全有效。具有手术操作简化、手术时间短的优点，更易于临床实践。
