Kết quả trung hạn phẫu thuật nuss có nội soi hỗ trợ qua ngực trái điều trị lõm ngực bẩm sinh tại bệnh viện hữu nghị Việt đức

Abstract

Mid-term postoperative outcome results in PE patients after undergoing left Video-Assisted Thoracoscopic Surgery for the NUSS Procedure: From 2015 to 2018, 308 patients with pectus excavatum underwent video-assisted thoracoscopy in left-to-right Nuss procedure at Centre of Cardiovascular and Thoracic surgery in Viet Duc Hospital: age ranged from 5 – 24 years old (mean ± standard deviation: 15.44 ± 3.14 years old); male/female ratio:6/1; Moderate pectus excavatum accounted to 24,03% of our study cohort; rate of severe pectus excavatum was 54,78%; rate of mild pectus excavatum was 21,10%; mean operating time was 48,16±15,55 minutes (20 - 40 ms); mean length of stay after surgery was 5,18±1,65 days (1 - 13ds). Early postoperative complications: Pneumothorax 1,62%; Pleural bleeding / pleural fluid 0,65%; Incision fluid accumulation 0,97%; Surgical wound infection 0,32%; Metal bar infection 0,32%; Atelectasis 0,97%. Late postoperative complications: Surgical wound infection 0,65%; Metal bar deviation 1,62%; Metal bar allergy 0,65%; Recurrent PE 0,65%; Persistent PE 1,62%. Mid-term to long-term outcome in PE patients undergoing left VATS-NUSS: Most patients had body weight gain 81,90%; increased physical activity and improved health 100%.Video-assisted thoracoscopic surgery in left-to-right Nuss procedure for pectus excavatum is a safe and effective therapy with high success rate and low risk of complications.1