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Uniportal VATS for pectus excavatum: the Southern Switzerland experience
S Cafarotti1, E Memoli, M Patella
1Thoracic Surgery Department, Ente Ospedaliero Cantonale, Università della Svizzera Italiana, Bellinzona, Switzerland. stefano.cafarotti@eoc.ch.
European Review for Medical and Pharmacological Sciences
|September 23, 2020
Summary
The modified uniportal thoracoscopic Nuss procedure offers a safe and effective surgical option for pectus excavatum correction. This minimally invasive technique demonstrates good patient outcomes and low complication rates for chest deformity repair.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Pediatric Surgery
Background:
- Pectus excavatum is a congenital chest wall deformity.
- The Nuss procedure is a standard surgical repair.
- Traditional Nuss procedures often involve bilateral thoracoscopy with multiple incisions.
Purpose of the Study:
- To evaluate the safety and efficacy of a modified uniportal thoracoscopic Nuss procedure.
- To assess outcomes in patients undergoing pectus excavatum correction.
- To determine the recurrence rate after this minimally invasive approach.
Main Methods:
- Retrospective review of 248 patients with chest deformities.
- Analysis of 13 patients who underwent modified uniportal thoracoscopic Nuss procedure.
- Data collected included demographics, surgical details, complications, and patient satisfaction.
Main Results:
- Mean age of surgical patients was 20.75 years; Haller index averaged 3.65.
- Operative time averaged 68.2 minutes with a 2-10 day hospital stay.
- Overall complication rate was 7.6% with no mortality, major bleeding, or recurrence at 24.6 months follow-up.
Conclusions:
- The modified uniportal thoracoscopic Nuss procedure is a safe and effective method for pectus excavatum correction.
- This approach offers a minimally invasive alternative with low complication rates.
- The procedure demonstrated no recurrence of pectus excavatum after two years.
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