SO SÁNH KẾT QUẢ ĐIỀU TRỊ BỆNH NGỰC LÕM BẨM SINH GIỮA MỔ MỞ KINH ĐIỂN VÀ PHẪU THUẬT NUSS TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Background: For treating the“pectus excavatum”, classical surgery (large invasive surgery) performed in tens of years with limited results. Nuss procedure made good this limits, especially associating with thoracic endoscopic surgery (mini-invasive surgery). Since 2010, Viet Duc hospital has been applying Nuss procedure – endoscopically. Comparing the classical with Nuss techniques is necessary to stand out the advantages of Nuss procedure in “pectus excavatum” treatment nowadays.

 Method: Retrospective description in 30 patients with classical technique (1st group, from 2000 to 2010) and 53 patients with Nuss procedure (2^nd group, from 2010 to 2011), about the operation and post-operation results.

Results: No significative difference between two groups in age (14.5 and 16.0) and sex (83.3% and 88.8% of man). Operative time in 1st group (117± 34 minutes) is longer than in 2^nd group (69 ± 24 minutes). Hospitalization days is longer in 1st group (7.6 ± 4.3 days) than 2nd group (5.2 ± 1.2 days). Early good result is 63.4% in 1^st group and 92.5% in 2nd group. Long term result: “Non pectus excavatum” is only 63.4% in 1st group, but 56.6% in 2nd group; incidence of patient’ very happiness is only 18.1% in 1st group, but 94.3% in 2^nd group.

 Conclusion: Nuss procedure associated Thoracoscopy is a good choice to treat “pectus excavatum”, with the great advantages in aestheticism, operative time, hospital stay, and form of thoracic cave.