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Pechetov A.A.

Institut khirurgii im. A.V. Vishnevskogo Minzdravsotsrazvitiia RF, Moskva

Esakov Iu.S.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Gubaydullina G.F.

Faculty of Fundamental Medicine, Lomonosov Moscow State University, Moscow, Russia

Makov M.A.

Vishnevsky Institute of Surgery, Health Ministry of the Russian Federation, Moscow, Russia

Khlan T.N.

Vishnevsky Institute of Surgery, Ministry of Health of the Russian Federation, Moscow, Russia

Differential approach for chest wall reconstruction for pectus excavatum in adults

Authors:

Pechetov A.A., Esakov Iu.S., Gubaydullina G.F., Makov M.A., Khlan T.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2017;(7): 24‑29

DOI: 10.17116/hirurgia2017724-29

Read: 5616 times

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Table of contents

DIFFERENTIAL APPROACH FOR CHEST WALL RECONSTRUCTION FOR PECTUS EXCAVATUM IN ADULTS
DIFFERENTIAL APPROACH FOR CHEST WALL RECONSTRUCTION FOR PECTUS EXCAVATUM IN ADULTS

To cite this article:

Pechetov AA, Esakov IuS, Gubaydullina GF, Makov MA, Khlan TN. Differential approach for chest wall reconstruction for pectus excavatum in adults. Pirogov Russian Journal of Surgery. 2017;(7):24‑29. (In Russ.)
https://doi.org/10.17116/hirurgia2017724-29

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Aim. To perform the prospective non-randomized single-center trial of pectus excavatum correction in adults. Methods. For the period March 2012 — March 2016 64 patients aged 18—44 years were treated. Median age was 23 years. Male/female ratio was 41/23. All patients were included into standard survey protocol: chest MDCT, MRI of thoracic spine, pulmonary function test, echocardiography. Quality of life and complications rate after the Nuss procedure (n=50, 78.1%, group 1) and radical thoracoplasty using nikelid-titanium bar (n=14, group 2) were evaluated. Results. There was earlier recovery in the 1st group: 3 (2; 4) and 6 (5; 7) days after minimally invasive and radical thoracoplasty, respectively. Postoperative Dindo—Clavien I—IIIa complications developed in 46 (71.8%) patients. Most of them did not require additional procedures. Conclusion. Nuss procedure is safe method and can be performed with good results in adults.

Keywords:

pectus excavatum
minimally invasive thoracoplasty
Nuss procedure
Ravitch’s procedure

Authors:

Pechetov A.A.

Institut khirurgii im. A.V. Vishnevskogo Minzdravsotsrazvitiia RF, Moskva

Esakov Iu.S.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Gubaydullina G.F.

Faculty of Fundamental Medicine, Lomonosov Moscow State University, Moscow, Russia

Makov M.A.

Vishnevsky Institute of Surgery, Health Ministry of the Russian Federation, Moscow, Russia

Khlan T.N.

Vishnevsky Institute of Surgery, Ministry of Health of the Russian Federation, Moscow, Russia

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References:

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  3. Kelly JrRE, Cash TF, Shamberger RC, Mitchell KK, Mellins RB, Lawson ML, et al. Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity: multicenter study. Pediatrics [Internet]. 2008;122(6):1218-1222. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19047237%5Cnhttp://pediatrics.aappublications.org/content/pediatrics/122/6/1218.full.pdf https://doi.org/10.1542/peds.2007-2723
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  9. de Oliveira Carvalho PE, da Silva MVM, Rodrigues OR, Cataneo AJM. Surgical interventions for treating pectus excavatum. Cochrane database Syst Rev [Internet]. 2014;10(10):CD008889. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25352359 https://doi.org/10.1002/14651858.cd008889.pub2
  10. Kim DH, Hwang JJ, Lee MK, Lee DY, Paik HC. Analysis of the nuss procedure for pectus excavatum in different age groups. Ann Thorac Surg. 2005;80(3):1073-1077. https://doi.org/10.1016/j.athoracsur.2005.03.070
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