关键词: 漏斗胸, 胸腔镜, 改良Nuss手术

Abstract:

Objective: To summarize the clinical experiences of the modified Nuss surgery in single-port VATS in treatment of pectus excavatum,and to provide basis for its clinical application.Methods:3 patients with pectus excavatum underwent modified Nuss surgery in single-port VATS from July 2014 to December 2014 in China-Japan Union Hospital were selected.Among them 2 patients were males with 10 years old and 15 years old,respectively; and 1 patient was female with 11 years old.In the three patients,the single 2-cm long transverse incisions were made in the right lateral chest wall,a convex steel bar advanced across the mediastinum under the sternum once without guide,the chest drainage tube was not necessary after operation.Results: Deformities of all patients were successfully corrected,the time of operation was 19,26 and 28 min,respectively; the expenditure of operation was 35,36 and 38 thousands RMB.All the patients had no anesthetic accident and injuries.The small right pneumothorax occurred in 1 case,and healed by chest drainage.There was no postoperative recurrence. The patients were followed up 6 monthes after operation.The curative effect was satifactory without displacement of convex steel bar. Conclusion: The modified Nuss surgery in single-port VATS for the correction of pectus excavatum is more minimally invasive and beautiful,which is safe,effective and easy to perform.The excellent short-term results are obtained,and the long-term results require further evaluation.

Key words: pectus excavatum, thoracoscope, modified Nuss surgery