Garzi A, Prestipino M, Rubino M S, Di Crescenzo R M, Calabrò E
Division of Pediatric M.I.S. and Robotic Surgery University of Salerno, Italy.
Division of Pediatric Surgery A.O. S. Maria della Misericordia Perugia, Italy.
Transl Med UniSa. 2020 May 31;22:24-27. eCollection 2020 May.
During the pediatric age range, one the most frequent deformities of the chest wall are Pectus Excavatum (PE). Currently the treatment of choice for PE is surgical intervention following the Nuss procedure. In this study, we present a description of the complications associated with surgical treatment of PE with the Nuss technique, in patients with symmetrical or asymmetrical deformity, in different stages of disease severity. The study was conducted in collaboration with the Pediatric Hospital "Istituto G. Gaslini" of Genoa. We analyzed a cohort of 402 patients (334 males and 68 females), who underwent corrective surgery between 2005 and 2018. Within this group of patients, we observed 82 cases with complications (20.39%), 20 of which were intraoperative (4.98%) and 62 post-operative (15.42%). For the evaluation of complications, this group was arbitrarily divided into patients with symmetric and asymmetric Pectus and in patients with mild, moderate and severe Pectus using Haller's index. Although a small group of patients presented complications, overall results from data analysis show that the Nuss technique represents the preferred surgical procedure for the treatment of PE, in agreement with literature. Furthermore, in our results show no correlation between asymmetry or severity of PE with complication related to the surgery.
在儿童年龄范围内，胸壁最常见的畸形之一是漏斗胸（PE）。目前，漏斗胸的首选治疗方法是采用努斯手术进行外科干预。在本研究中，我们描述了在疾病严重程度不同阶段，采用努斯技术对对称或不对称畸形患者进行漏斗胸外科治疗相关的并发症。该研究是与热那亚的“加斯利尼研究所”儿童医院合作进行的。我们分析了一组402例患者（334例男性和68例女性），他们在2005年至2018年间接受了矫正手术。在这组患者中，我们观察到82例有并发症（20.39%），其中20例为术中并发症（4.98%），62例为术后并发症（15.42%）。为了评估并发症，该组患者根据哈勒指数被任意分为对称和不对称漏斗胸患者以及轻度、中度和重度漏斗胸患者。尽管一小部分患者出现了并发症，但数据分析的总体结果表明，与文献一致，努斯技术是治疗漏斗胸的首选外科手术方法。此外，我们的结果显示漏斗胸的不对称或严重程度与手术相关并发症之间没有相关性。
