Department of Pediatric Thoracic Surgery, Guangdong Women and Children Hospital, Guangzhou, 511442, Guangdong Province, China.
Department of Thoracic Surgery, Anhui Province Children's Hospital, Hefei, 230022, Anhui Province, China.
Sci Rep. 2024 Jul 5;14(1):15487. doi: 10.1038/s41598-024-66308-2.
We aimed to investigate the feasibility of the sandwich technique to treat pectus carinatum combined with Harrison sulcus. We retrospectively analysed the clinical data of 38 paediatric patients with pectus carinatum combined with Harrison sulcus treated from June 2015 to October 2022. All the patients underwent surgery using the sandwich technique. The surgical conditions and postoperative outcomes of the patients and the satisfaction score of family members were analysed. Overall, the patients had a mean duration of surgery of 179.05 ± 36.01 min, intraoperative blood loss of 10.03 ± 2.77 mL, postoperative hospital stay of 6.89 ± 0.73 days, and postoperative satisfaction score of 89.4 ± 4.6. The incidence of surgical complications was 7.89%. The internal fixation stents were removed in 22 patients, and there was no recurrence during a follow-up 371.4 ± 6.3 days post-stent removal. These results were satisfactory. The use of the sandwich technique to treat this condition does not reduce the volume of the thorax after the procedure and results in an aesthetically pleasing incision, less complications, and fast postoperative recovery. Thus, it is a safe and effective method that is worthy of being promoted for clinical application.
我们旨在探讨三明治技术治疗鸡胸合并哈里森沟的可行性。我们回顾性分析了 2015 年 6 月至 2022 年 10 月期间采用三明治技术治疗的 38 例鸡胸合并哈里森沟患儿的临床资料。所有患者均采用三明治技术手术。分析患者的手术情况和术后结果以及家属的满意度评分。总的来说，患者的手术时间平均为 179.05±36.01 分钟，术中出血量为 10.03±2.77 毫升，术后住院时间为 6.89±0.73 天，术后满意度评分为 89.4±4.6。手术并发症发生率为 7.89%。22 例患者取出内固定支架，支架取出后随访 371.4±6.3 天无复发。结果令人满意。三明治技术治疗该疾病不会减少术后胸廓容积，且切口美观，并发症少，术后恢复快。因此，这是一种安全有效的方法，值得临床推广应用。
