Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
Department of Pediatric Surgery, Princess Maxima Center, Utrecht, The Netherlands.
Eur J Pediatr Surg. 2021 Jun;31(3):261-265. doi: 10.1055/s-0040-1712182. Epub 2020 May 26.
Pectus excavatum (PE) is the most common deformity of the anterior chest wall and can be corrected surgically with different techniques. In the past years, medical literature suggests that the minimal invasive surgical correction of PE (MIRPE) has currently become the operation technique of choice in Europe, and the number of PE patients undergoing surgery has increased. The aim of this study was to evaluate trends in the number of patients operated on and the surgical techniques generally used in patients with PE in the Netherlands.
From the registration by Statistics Netherlands, the numbers of live births and gender were obtained for the period 1980 to 2017. Furthermore, from the Dutch hospital registration performed by Kiwa Prismant systems, the number of total surgical procedures of PE patients from the period 1998 to 2017, and the numbers of open and MIRPE surgery were obtained over the period 2005 to 2013.
The birth rate in Netherlands has stayed more or less stable in the last two decades. The number of PE patients asking for correction, however, has increased. In addition, the percentage of thoracoscopic assisted correction has increased.
The increase in correction of PE is not due to an increased incidence but to an increase of patient wishes. The use of MIRPE is gaining popularity over time.
漏斗胸（PE）是最常见的前胸壁畸形，可以通过不同的技术进行手术矫正。近年来，医学文献表明，微创矫正漏斗胸（MIRPE）目前已成为欧洲的首选手术技术，接受手术的 PE 患者数量有所增加。本研究旨在评估荷兰 PE 患者手术数量的趋势以及普遍使用的手术技术。
从荷兰统计局的登记处获得了 1980 年至 2017 年期间的活产数和性别数据。此外，从 Kiwa Prismant 系统进行的荷兰医院登记中，获得了 1998 年至 2017 年期间所有 PE 患者的手术总数，以及 2005 年至 2013 年期间开放手术和 MIRPE 手术的数量。
荷兰的出生率在过去二十年中基本保持稳定，但要求矫正的 PE 患者数量有所增加。此外，胸腔镜辅助矫正的比例也有所增加。
PE 矫正数量的增加不是由于发病率的增加，而是由于患者愿望的增加。随着时间的推移，MIRPE 的使用越来越受欢迎。
