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Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure—Two Centers’ Experiences

Pectus excavatum is the most common congenital anterior chest wall deformity, with an incidence of 1:400 to 1:1000. Surgical strategy has evolved with the revolutionary idea of Donald Nuss, who was a pioneer in the operative correction of this deformity using minimally invasive surgery. The aim of t...

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Autores principales: Pajić, Miloš, Vidovič, Damjan, Jokić, Radoica, Antić, Jelena, Čubrić, Nenad, Fratrić, Ivana, Bukarica, Svetlana, Komarčević, Aleksandar, Milenković, Marina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026728/
https://www.ncbi.nlm.nih.gov/pubmed/35455601
http://dx.doi.org/10.3390/children9040557
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author Pajić, Miloš
Vidovič, Damjan
Jokić, Radoica
Antić, Jelena
Čubrić, Nenad
Fratrić, Ivana
Bukarica, Svetlana
Komarčević, Aleksandar
Milenković, Marina
author_facet Pajić, Miloš
Vidovič, Damjan
Jokić, Radoica
Antić, Jelena
Čubrić, Nenad
Fratrić, Ivana
Bukarica, Svetlana
Komarčević, Aleksandar
Milenković, Marina
author_sort Pajić, Miloš
collection PubMed
description Pectus excavatum is the most common congenital anterior chest wall deformity, with an incidence of 1:400 to 1:1000. Surgical strategy has evolved with the revolutionary idea of Donald Nuss, who was a pioneer in the operative correction of this deformity using minimally invasive surgery. The aim of this paper is to compare the preliminary results of pectus excavatum repair in two University Centers with a moderate number of patients using the standard Nuss procedure and its modification, the extrapleural thoracoscopic approach. The statistical analysis showed no significant difference for the patient’s age (14.52 ± 3.70 vs. 14.57 ± 1.86; p = 0.95) and the CT Haller index (4.17 ± 1.58 vs. 3.78 ± 0.95; p = 0.32). A statistically significant difference was noted for the duration of a pectus bar implant (2.16 ± 0.24 vs. 2.48 ± 0.68; p = 0.03) between the Maribor and Novi Sad Center. We report 14 complications (28%), including dislocation of the pectus bar (10%), pleural effusion (8%), wound inflammation (6%), pericarditis (2%) and an allergic reaction to the pectus bar (2%). Standard and thoracoscopic extrapleural Nuss procedures are both safe and effective procedures used to correct a pectus excavatum deformity. The choice of surgical procedure should be made according to a surgeon’s reliability in performing a particular procedure. Our study found no advantages of one procedure over the other.
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spelling pubmed-90267282022-04-23 Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure—Two Centers’ Experiences Pajić, Miloš Vidovič, Damjan Jokić, Radoica Antić, Jelena Čubrić, Nenad Fratrić, Ivana Bukarica, Svetlana Komarčević, Aleksandar Milenković, Marina Children (Basel) Article Pectus excavatum is the most common congenital anterior chest wall deformity, with an incidence of 1:400 to 1:1000. Surgical strategy has evolved with the revolutionary idea of Donald Nuss, who was a pioneer in the operative correction of this deformity using minimally invasive surgery. The aim of this paper is to compare the preliminary results of pectus excavatum repair in two University Centers with a moderate number of patients using the standard Nuss procedure and its modification, the extrapleural thoracoscopic approach. The statistical analysis showed no significant difference for the patient’s age (14.52 ± 3.70 vs. 14.57 ± 1.86; p = 0.95) and the CT Haller index (4.17 ± 1.58 vs. 3.78 ± 0.95; p = 0.32). A statistically significant difference was noted for the duration of a pectus bar implant (2.16 ± 0.24 vs. 2.48 ± 0.68; p = 0.03) between the Maribor and Novi Sad Center. We report 14 complications (28%), including dislocation of the pectus bar (10%), pleural effusion (8%), wound inflammation (6%), pericarditis (2%) and an allergic reaction to the pectus bar (2%). Standard and thoracoscopic extrapleural Nuss procedures are both safe and effective procedures used to correct a pectus excavatum deformity. The choice of surgical procedure should be made according to a surgeon’s reliability in performing a particular procedure. Our study found no advantages of one procedure over the other. MDPI 2022-04-14 /pmc/articles/PMC9026728/ /pubmed/35455601 http://dx.doi.org/10.3390/children9040557 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pajić, Miloš
Vidovič, Damjan
Jokić, Radoica
Antić, Jelena
Čubrić, Nenad
Fratrić, Ivana
Bukarica, Svetlana
Komarčević, Aleksandar
Milenković, Marina
Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure—Two Centers’ Experiences
title Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure—Two Centers’ Experiences
title_full Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure—Two Centers’ Experiences
title_fullStr Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure—Two Centers’ Experiences
title_full_unstemmed Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure—Two Centers’ Experiences
title_short Comparison of the Standard vs. Thoracoscopic Extrapleural Modification of the Nuss Procedure—Two Centers’ Experiences
title_sort comparison of the standard vs. thoracoscopic extrapleural modification of the nuss procedure—two centers’ experiences
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026728/
https://www.ncbi.nlm.nih.gov/pubmed/35455601
http://dx.doi.org/10.3390/children9040557
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