Özkaya Muharrem, Bilgin Mehmet
Thoracic Surgery Department, Antalya Health Practice and Research Center, Health Sciences University, Antalya, Turkey.
Wideochir Inne Tech Maloinwazyjne. 2018 Sep;13(3):383-387. doi: 10.5114/wiitm.2018.75888. Epub 2018 May 22.
The minimally invasive pectus carinatum surgery described by Abramson has been performed in many centers. We modified the "sub-muscular tunnel creation" part of the original Abramson technique.
To compare the operative time between the original Abramson technique and a lightly modified approach.
A retrospective review of 84 patients who underwent minimally invasive repair of pectus carinatum deformity between July 2008 and November 2017 was performed. We applied two different techniques, the original Abramson technique and the modified technique. Sixty-eight patients - 49 (72%) males and 19 (28%) females - underwent minimally invasive repair of a pectus carinatum deformity as described by Abramson (Abramson group). Sixteen patients - 13 (81%) males and 3 (19%) females - were operated on by our modified Abramson technique at our institution (Modified group).
Eighty-four patients were included in this study: 68 patients from the Abramson group and 16 patients from the Modified group. There was no significant difference between the groups with respect to preoperative demographic features, including median age and sex. Median operative time was significantly shorter in the Modified group than the Abramson group (43 min, range: 32-54 min) in the Modified group vs. 30 min (range: 20-35 min) in the Abramson group (p < 0.001).
This article describes a modification of a surgical technique that is safely and easily used in minimally invasive correction of pectus carinatum deformities, with minimal complications, high satisfaction rates and shorter operative time.
许多中心都开展了 Abramson 所描述的微创鸡胸手术。我们对原始 Abramson 技术的“肌下隧道创建”部分进行了改良。
比较原始 Abramson 技术与轻微改良方法之间的手术时间。
对 2008 年 7 月至 2017 年 11 月期间接受微创鸡胸畸形修复的 84 例患者进行回顾性研究。我们应用了两种不同的技术，即原始 Abramson 技术和改良技术。68 例患者（49 例（72%）男性和 19 例（28%）女性）接受了 Abramson 所描述的微创鸡胸畸形修复（Abramson 组）。16 例患者（13 例（81%）男性和 3 例（19%）女性）在我们机构接受了改良的 Abramson 技术手术（改良组）。
本研究纳入了 84 例患者：Abramson 组 68 例，改良组 16 例。两组在术前人口统计学特征（包括年龄中位数和性别）方面无显著差异。改良组的中位手术时间明显短于 Abramson 组（改良组为 43 分钟，范围：32 - 54 分钟；Abramson 组为 30 分钟，范围：20 - 35 分钟）（p < 0.001）。
本文描述了一种手术技术的改良方法，该方法可安全、简便地用于微创矫正鸡胸畸形，并发症少，满意度高，手术时间短。
