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How pulmonary function changes after pectus excavatum correction surgery.

Pinar Kuru1, Asli Dudakli2, Hakan Mursaloglu2

  • 1Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA pnr.kuru@gmail.com.

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Minimally invasive pectus excavatum repair improves quality of life but decreases forced vital capacity in patients. Long-term pulmonary function changes require further investigation.

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Body image; Funnel chest; Patient satisfaction; Quality of life; Minimally invasive surgical proceduresRespiratory function tests

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Area of Science:

  • Thoracic surgery
  • Pediatric surgery
  • Pulmonary function testing

Background:

  • Pectus excavatum is a congenital chest wall deformity impacting cardiopulmonary function and quality of life.
  • Minimally invasive repair techniques have become standard for pectus excavatum correction.
  • Assessing the impact of surgical repair on pulmonary function and patient-reported outcomes is crucial.

Purpose of the Study:

  • To evaluate the effects of minimally invasive pectus excavatum repair on pulmonary function.
  • To assess the impact of the surgical procedure on patient quality of life.

Main Methods:

  • Eighty patients (mean age 16.9 years) with pectus excavatum underwent minimally invasive repair.
  • Patients and parents completed the Nuss Questionnaire Modified for Adults.
  • Pulmonary function tests were conducted preoperatively and 6 months postoperatively.

Main Results:

  • The Nuss score, indicating quality of life, significantly improved post-surgery (31.06 to 37.1).
  • Forced vital capacity (FVC) showed a significant decrease (3.70 L to 3.48 L).
  • The ratio of forced expiratory volume in 1 second to FVC increased significantly (86% to 91%).

Conclusions:

  • Minimally invasive pectus excavatum repair positively impacts patient quality of life.
  • A negative effect on forced vital capacity was observed post-surgery.
  • Long-term follow-up is necessary to understand the sustained changes in pulmonary function.