Department of Cardiothoracic Surgery, Hunan Children's Hospital, Hunan, China.
J Coll Physicians Surg Pak. 2020 Mar;30(3):335-337. doi: 10.29271/jcpsp.2020.03.335.
An auxiliary subxiphoid incision was utilised to facilitate pectus bar placement and minimise operative risks in complex pectus excavatum. A series of 33 patients with recurrent or severe pectus excavatum underwent Nuss procedure with this incision from March 2013 to March 2016. The median age of the cohort was 6.9 years (9 females vs. 24 males). The mean Haller index was 5.22. There were 12 redo cases and 18 cases with a Haller index >6. Four cases underwent double bar correction. There was no perioperative death or major complication. Twenty-one cases had already the bars removed when this study was initiated. During follow-up (6-30 months), three cases presented with mild depression of lateral chest wall; while in the rest, the shapes of the chest wall remained satisfactory. The application of the auxiliary subxiphoid incision in Nuss procedure can make it safer in recurrent and severe pectus excavatum with favourable postoperative cosmetic effects.
辅助剑突下小切口有助于胸廓成形术和最小化胸廓漏斗胸的手术风险。2013 年 3 月至 2016 年 3 月，我们对 33 例复发性或严重漏斗胸患者采用该切口行 Nuss 手术。该队列的中位年龄为 6.9 岁（9 例女性，24 例男性）。平均 Haller 指数为 5.22。有 12 例再次手术，18 例 Haller 指数>6。4 例患者行双棒矫正。无围手术期死亡或重大并发症。本研究开始时，已有 21 例患者已取出棒。在随访期间（6-30 个月），3 例患者出现侧胸壁轻度凹陷；其余患者胸廓外形保持满意。辅助剑突下小切口在 Nuss 手术中的应用，可使复发性和严重漏斗胸的手术更安全，且术后美容效果良好。
