期刊
ANNALES DE CHIRURGIE PLASTIQUE ESTHETIQUE
卷 62, 期 1, 页码 8-14出版社
ELSEVIER
DOI: 10.1016/j.anplas.2016.10.001
关键词
Pectus excavatum; Children; Nuss technique; Complications; Heart damage
类别
Introduction. - Pectus excavatum (PE) is the most common deformity of the anterior thoracic Children; wall. The Nuss technique allows the thorax to be reshaped with the aid of a retrosternal metallic Nuss technique; bar. The aim of this study is to evaluate and compare the complication rate between the original Complications; Nuss technique and a lightly modified approach. Heart damage Material and method. - We performed a retrospective single-center observational study based on the medical files of patients operated for PE in the Pediatric Surgery Unit between July 2004 and July 2015. We divided two patient groups according to the operating technique employed: the Nuss group (NG) and the modified Nuss group (MNG) with supplementary subxiphoid incision and bilateral thoracoscopy. Results. - Twenty-seven patients were included: sixteen in the NG and eleven in the MNG. No significant differences were found between the two groups for all kinds of complications: total complication rate (50% for the NG versus 54% for the MNG, P > 0.05), early (31% vs 46%, P > 0.05), late (19% vs 9%, P > 0.05), non-serious (37% vs 36%, P > 0.05) or serious (13 vs 18%, P > 0.05). There was no life threatening complication in the MNG, contrary to the NG. In the two groups, a significant difference was found (P = 0.029) regarding the operating time: longer operating times (80 +/- 25 min) were correlated with a higher complication rate. Conclusion. - The modified Nuss technique does not cause more complications than the original technique described by Nuss and it has the advantage to minimize the risk of heart damage. (C) 2016 Elsevier Masson SAS. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据