Pectus excavatun
Conditions
Interventions
single incision non thoracoscopic assisted Nuss surgery:Perform standard left approach non thoracoscopic assisted Nuss surgery
thoracoscopic Nuss procedure (TNP) with Bilateral incision:Nuss surgery with double incisions and assisted by thoracoscopy
Sponsors
Department of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University
Eligibility
Sex/Gender
All
Age
3 Years to 18 Years
Inclusion criteria
Inclusion criteria: patients with PE aged between 3 to 18 years old for the first surgery and without combination of complex anomalies. The indications for surgical treatment included at least two of the following: 1) HI greater than 3.20 or deformity had progressed by visual assessment of parents; 2) cardiac or pulmonary compression by visual assessment on CT or reduced cardiac diastolic function parameters such as E peak /A peak ratio and ventricular end diastolic volume index ratio on echocardiogram; 3) Abnormal lung function by resting pulmonary function test; 4) mitral valve prolapse or arrhythmia; 5) symptoms such as repeated episodes of respiratory infections were present; 6) patients had a severe psychosocial disorder; 7) patients or their parents had a strong desire for deformity correction.
Exclusion criteria
Exclusion criteria: Children who did not pass the developmental screening test such as Denver Developmental Screening Test (DDST) before were not included. Patients with severe combined malformations, such as Marfan syndrome, severe cardiac malformations and Hirschsprung’s disorder, were excluded. Patients who underwent secondary surgery were excluded as well.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medical expense during hospitalization;Thoracic related complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| length of hospital stay ;surgical duration; | — |
Countries
China
Contacts
Public ContactHongbo LI
Department of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University
Outcome results
None listed