Pediatric Surgery Department. Consorci Corporació Sanitària Parc Taulí. Sabadell (Barcelona) (Spain).
Cir Pediatr. 2020 Oct 1;33(4):154-159.
Nuss procedure is a safe surgery but not exempt from complications. Clavien-Dindo classification (1992) allows complications of any surgery to be recorded. Our objective was to prove its applicability in the study of Nuss procedure complications.
We present a retrospective series of PE patients undergoing surgery from January 2010 to January 2018. Nuss procedure associated morbidity prior to bar removal was studied. Complications were stratified according to Clavien-Dindo classification.
A total of 31 patients were included. Mean age was 14.67 years (4-27 years), with a mean Haller index of 6.06 (3.35-14.14) and a mean correction index of 41.2% (16-87%). Clavien-Dindo classification I-IIIb mild complications were recorded in 35.48% of patients. Seroma was found in 4 patients (12%), of whom 1 had superinfection and 1 had wound dehiscence. In 6 patients, bar and/or stabilizer mobilization was noted, and in 1 patient, postoperative acute pulmonary edema (3%) was observed. Of the 11 patients with complications, only 6 required re-intervention -5 as a result of prosthesis mobilization, and 1 as a result of infection not resolved with intravenous antibiotic therapy.
Clavien-Dindo classification is being increasingly used as a way of unifying surgical complication criteria by comparing results. Our study demonstrated that such classification is a feasible and reproducible method when it comes to reflecting Nuss procedure morbidity and comparing it with other groups.
Nuss 手术是一种安全的手术，但并非没有并发症。Clavien-Dindo 分类（1992）允许记录任何手术的并发症。我们的目的是证明其在 Nuss 手术并发症研究中的适用性。
我们回顾性分析了 2010 年 1 月至 2018 年 1 月期间接受手术的 31 例 PE 患者。研究了去除棒之前与 Nuss 手术相关的发病率。并发症根据 Clavien-Dindo 分类进行分层。
共纳入 31 例患者。平均年龄为 14.67 岁（4-27 岁），平均 Haller 指数为 6.06（3.35-14.14），平均矫正指数为 41.2%（16-87%）。35.48%的患者记录到 Clavien-Dindo 分类 I-IIIb 轻度并发症。4 例（12%）患者出现血清肿，其中 1 例合并感染，1 例出现伤口裂开。6 例患者发现棒和/或稳定器移位，1 例患者术后出现急性肺水肿（3%）。11 例并发症患者中，仅 6 例需要再次干预-5 例因假体移位，1 例因静脉抗生素治疗未解决的感染。
Clavien-Dindo 分类越来越多地被用作通过比较结果来统一手术并发症标准的方法。我们的研究表明，对于反映 Nuss 手术发病率并将其与其他组进行比较，这种分类是一种可行且可重复的方法。
