BACKGROUND: To review the clinical experience and short- to middle-term effects of the Nuss procedure for correction of pectus excavatum (PE). METHODS: From September 2006 to August 2014, 639 patients with PE were treated using the Nuss procedure. Of these, 546 were male and 93 were female. The mean age was 15.3±5.8 years (2.5-49 years). Preoperative chest CT scans Haller index (HI) was 4.3±1.7 (2.9-17.4), with 75 cases of mild PE (HI <3.2), 114 cases of moderate PE (HI 3.2-3.5), 393 cases of severe PE (HI 3.6-6.0), and 57 cases of extremely severe PE (HI >6.0). RESULTS: A total of 638 patients successfully completed the surgery, an 11-year-old male patient who died after the surgery had undergone ventricular septal defect closure surgery through a sternal incision 7 years ago. The mean operative time was 64.3±41.7 min (40-310 min). Excluding the patient who died, the average blood loss was 24.5±17.8 mL (10-160 mL). The average length of postoperative hospital stay was 5.2±2.9 days (4-36 days). A total of 484 cases (75.7%) required 1 steel bar insertion, 153 cases (24.0%) required 2 steel bars, and 2 cases (0.3%) required 3 bars. Postoperative evaluation of the surgery outcomes revealed the following: excellent in 504 cases, good in 105, fair in 28 and poor in 2, good quality rate was 95.3%. CONCLUSIONS: Correction of PE via the Nuss procedure is minimally invasive and simple to perform with good short and mid-term effects, while long-term efficacy remains to be determined.
BACKGROUND: To review the clinical experience and short- to middle-term effects of the Nuss procedure for correction of pectus excavatum (PE). METHODS: From September 2006 to August 2014, 639 patients with PE were treated using the Nuss procedure. Of these, 546 were male and 93 were female. The mean age was 15.3±5.8 years (2.5-49 years). Preoperative chest CT scans Haller index (HI) was 4.3±1.7 (2.9-17.4), with 75 cases of mild PE (HI <3.2), 114 cases of moderate PE (HI 3.2-3.5), 393 cases of severe PE (HI 3.6-6.0), and 57 cases of extremely severe PE (HI >6.0). RESULTS: A total of 638 patients successfully completed the surgery, an 11-year-old male patient who died after the surgery had undergone ventricular septal defect closure surgery through a sternal incision 7 years ago. The mean operative time was 64.3±41.7 min (40-310 min). Excluding the patient who died, the average blood loss was 24.5±17.8 mL (10-160 mL). The average length of postoperative hospital stay was 5.2±2.9 days (4-36 days). A total of 484 cases (75.7%) required 1 steel bar insertion, 153 cases (24.0%) required 2 steel bars, and 2 cases (0.3%) required 3 bars. Postoperative evaluation of the surgery outcomes revealed the following: excellent in 504 cases, good in 105, fair in 28 and poor in 2, good quality rate was 95.3%. CONCLUSIONS: Correction of PE via the Nuss procedure is minimally invasive and simple to perform with good short and mid-term effects, while long-term efficacy remains to be determined.
Authors: Mariann Tang; Hans Henrik Møller Nielsen; Maj Lesbo; Jørgen Frøkiær; Marie Maagaard; Hans K Pilegaard; Vibeke E Hjortdal Journal: Eur J Cardiothorac Surg Date: 2011-12-21 Impact factor: 4.191
Authors: Robert E Kelly; Michael J Goretsky; Robert Obermeyer; Marcia Ann Kuhn; Richard Redlinger; Tina S Haney; Alan Moskowitz; Donald Nuss Journal: Ann Surg Date: 2010-12 Impact factor: 12.969
Authors: Daniel P Croitoru; Robert E Kelly; Michael J Goretsky; M Louise Lawson; Barbara Swoveland; Donald Nuss Journal: J Pediatr Surg Date: 2002-03 Impact factor: 2.545
Authors: Mindy W C Lam; Anne F Klassen; Carolyne J Montgomery; Jacques G LeBlanc; Erik D Skarsgard Journal: J Pediatr Surg Date: 2008-05 Impact factor: 2.545
Authors: Christoph Castellani; Johannes Schalamon; Amulya K Saxena; Michael E Höellwarth Journal: Pediatr Surg Int Date: 2008-04-05 Impact factor: 1.827
Authors: Stefan Schulz-Drost; Julia Syed; Anna-Maria Luber; Roman T Carbon; Manuel Besendörfer Journal: J Thorac Dis Date: 2019-07 Impact factor: 2.895