Lee Seock Yeol, Song In Hag, Lee Seung Jin
Department of Cardiothoracic and Vascular Surgery, Soonchunhyang University Cheonan Hospital, 31, 6-gil, Soonchunhyang, Cheonan, 330-721, South Korea,
Pediatr Surg Int. 2014 Jan;30(1):25-30. doi: 10.1007/s00383-013-3419-0. Epub 2013 Oct 6.
This report presents early results of surgical experience of minimal invasive extrathoracic presternal compression using a metal bar for correction of the pectus carinatum.
From February 2008 to February 2012, 15 patients with combined pectus carinatum and pectus excavatum underwent minimal invasive extrathoracic presternal compression using a metal bar for correction of pectus carinatum and Nuss operation for pectus excavatum. After 2 years, bar removal was done in all patients. In this paper, we focused on pectus carinatum repair. The effects and complications of the minimally invasive extrathoracic presternal compression using a metal bar for correction of pectus carinatum were reviewed.
The median age was 15.7 years. The mean operation time for pectus carinatum with pectus excavatum was 122 min. The median length of hospitalization was 6 days. The Haller pectus index of pectus carinatum was 2.93 ± 0.36 pre-operatively and this was increased to 3.33 ± 0.61 post-operatively. There were no special complications. The degree of satisfaction of pectus carinatum correction was 3.75 ± 0.46 (range 1-4).
Our results were favorable in spite of the small number of cases and short follow-up, and our modified technique of pectus carinatum was easy and simple. However, long-term follow-up is needed to accurately evaluate the effects of this surgery in many cases.
本报告展示了使用金属棒进行微创胸外胸骨前加压矫正鸡胸的手术早期结果。
2008年2月至2012年2月，15例合并鸡胸和漏斗胸的患者接受了使用金属棒进行微创胸外胸骨前加压矫正鸡胸以及使用Nuss手术矫正漏斗胸。2年后，所有患者均进行了取棒手术。在本文中，我们重点关注鸡胸修复。回顾了使用金属棒进行微创胸外胸骨前加压矫正鸡胸的效果及并发症。
中位年龄为15.7岁。鸡胸合并漏斗胸的平均手术时间为122分钟。中位住院时间为6天。鸡胸术前的Haller胸指数为2.93±0.36，术后增至3.33±0.61。无特殊并发症。鸡胸矫正的满意度为3.75±0.46（范围1 - 4）。
尽管病例数量少且随访时间短，但我们的结果良好，且我们改良的鸡胸手术技术简单易行。然而，需要长期随访以准确评估该手术在众多病例中的效果。
