Modified twin-incision thoracoscopic Nuss procedure for pectus excavatum: a report of 50 cases

Abstract

Objective To explore the clinical efficacy of modified twin-incision thoracoscopic Nuss procedure for pediatric pectus excavatum. Methods A retrospective review was performed for the clinical data of 50 cases of pectus excavatum from July 2017 to May 2016. There were 30 boys and 20 girls with an average age of 6.5( 3.3-16.0) years. All of them underwent modified twin-incision thoracoscopic Nuss procedure.Average haller index was 3.0-6.9. Pectus excavatum 35 cases , asymmetric pectus excavatum 15 cases. Results 50 cases procedures were successfully completed. Operative duration was( 60±15) min, intraoperative blood loss( 5±2) ml, without serious complications during and after operation, and the average postoperative hospitalization stay(6±1) days, the postoperative effect was successfully, during follow-up from 7 months to 17months after the operation. Conclusion Modified twin-incision thoracoscopic Nuss procedure with is both safe and effective for pediatric pectus excavatum. With the advantages of shorter operative duration, mini-invasiveness, fewer complications and excellent cosmetics, it is worthy of wider popularization. Key words: Pectus excavatum; Twin-incision thoracoscopic; Thoracoscopy; Nuss Procedure