초록접수 현황
| 15F-010 | 포럼 발표 |
Minimally Invasive Repair of Pectus Carinatum: for Difficult to Bracing Therapy
Jee-Won Suh, Seok Joo, Geun Dong Lee, Seok Jin Haam, Sungsoo Lee
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
Background : Pectus carinatum and pectus excavatum are the most common morphological chest wall abnormalities. A modification of the Nuss procedure for pectus carinatum repair presented by Abramson [4] involves presternal placement of a metal bar attached to both sides of the chest wall, with metal plates for compressing the sternum.: This minimally invasive surgical technique has proved to be very effective in children and we have used it in patients who were not candidates for bracing therapy or for whom bracing therapy was ineffective. In the present study, we describe the outcomes achieved using a new minimally invasive technique for treatment of pectus carinatum.
Methods : In 2011, we developed a new pectus bar and stabilizing system for this procedure and started using it on our pectus carinatum patients. Between July 2011 and May 2015, 16 patients with pectus carinatum received minimally invasive surgery.
Results : The mean age of the patients was 25.78 years (range, 14–57 years), and all patients were men. The indications of surgery were hard chest wall 3, failure of brace therapy 6 and preference of surgery than brace 4. The percentage of excellent aesthetic results, as rated by the patients, was 37.5%, and the percentage of good results was 56.25%. The median hospital stay was 7 days (range 5–15 days). No fixating steel wire breakage requiring re-fixing of the stabilizers and no skin adhesions over the bar were seen as postoperative complications. Only one patient (6.25%) experienced postoperative complications.
Conclusion : A new instrument and surgical technique that is safely and easily used in minimally invasive correction of pectus carinatum deformities. Minimally invasive repair is effective for the treatment of pectus carinatum, even in adult patients.
Methods : In 2011, we developed a new pectus bar and stabilizing system for this procedure and started using it on our pectus carinatum patients. Between July 2011 and May 2015, 16 patients with pectus carinatum received minimally invasive surgery.
Results : The mean age of the patients was 25.78 years (range, 14–57 years), and all patients were men. The indications of surgery were hard chest wall 3, failure of brace therapy 6 and preference of surgery than brace 4. The percentage of excellent aesthetic results, as rated by the patients, was 37.5%, and the percentage of good results was 56.25%. The median hospital stay was 7 days (range 5–15 days). No fixating steel wire breakage requiring re-fixing of the stabilizers and no skin adhesions over the bar were seen as postoperative complications. Only one patient (6.25%) experienced postoperative complications.
Conclusion : A new instrument and surgical technique that is safely and easily used in minimally invasive correction of pectus carinatum deformities. Minimally invasive repair is effective for the treatment of pectus carinatum, even in adult patients.
책임저자: Sungsoo Lee
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
연락처 : Jee-Won Suh, Tel: 02-2227-2933 , E-mail : suh_1225@yuhs.ac
