The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 379-386 , February 2010

Minimally invasive repair of pectus excavatum: A novel morphology-tailored, patient-specific approach

  • Hyung Joo Park, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Ansan, Korea
    • Corresponding Author InformationAddress for reprints: Hyung Joo Park, MD, Korea University Medical Center, Department of Thoracic and Cardiovascular Surgery, 516 Gojan-Dong, Ansan 425-707, Republic of Korea.
    • ,
  • Jin Yong Jeong, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Ansan, Korea
    • ,
  • Won Min Jo, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Ansan, Korea
    • ,
  • Jae Seung Shin, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Ansan, Korea
    • ,
  • In Sung Lee, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Ansan, Korea
    • ,
  • Kwang Taik Kim, MD

      Affiliations

    • Korea University Medical Center, Seoul, Korea
    • ,
  • Young Ho Choi, MD

      Affiliations

    • Korea University Medical Center, Seoul, Korea

Received 10 May 2009 ,Revised 8 August 2009 ,Accepted 8 September 2009.

References 

  1. Molik KA, Engum SA, Rescorla FJ, West KW, Scherer LR, Grosfeld JL. Pectus excavatum repair: Experience with standard and minimal invasive techniques. J Pediatr Surg. 2001;36:324–328
  2. Hosie S, Sitkiewicz T, Petersen C, Göbel P, Schaarschmidt K, Till H, et al. Minimally invasive repair of pectus excavatum—the Nuss procedure. A European multicentre experience. Eur J Pediatr Surg. 2002;12:235–238
  3. Engum S, Rescorla F, West K, Rouse T, Scherer LR, Grosfeld J. Is the grass greener? Early results of the Nuss procedure. J Pediatr Surg. 2000;35:246–258
  4. Moss RL, Albanese CT, Reynolds M. Major complications after minimally invasive repair of pectus excavatum: case reports. J Pediatr Surg. 2001;36:155–158
  5. Park HJ. Technical innovations in minimally invasive approach for pectus excavatum: a paradigm shift through 630 patients. Innovations. 2007;2:25–28
  6. Lee CS, Park HJ, Lee SY. New computerized tomogram (CT) indices for pectus excavatum: tools for assessing modified techniques for asymmetry in Nuss repair. Chest. 2004;126(suppl):777S
  7. Park HJ, Lee SY, Lee CS, Youm W, Lee KR. The Nuss procedure for pectus excavatum: an evolution of techniques and results on 322 patients. Ann Thorac Surg. 2004;77:289–295
  8. Mathes SJ, Seyfer AE, Miranda EP. Congenital anomalies of the chest wall. In:  Mathes SJ editors. Plastic Surgery. Volume 6. 2nd ed. Philadelphia: Saunders Elsevier; 2006;p. 461–462
  9. Park HJ, Chung WJ, Lee IS, Kim KT. Mechanism of bar displacement and corresponding bar fixation techniques in minimally invasive repair of pectus excavatum. J Pediatr Surg. 2008;43:74–78
  10. Park HJ, Lee SY, Lee CS. Complications associated with the Nuss procedure: analysis of risk factors and suggested measures for prevention of complications. J Pediatr Surg. 2004;39:391–395
  11. Nuss D, Kelly RE, Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg. 1998;33:545–552
  12. Metzelder ML, Ure BM, Leonhardt J, Grigull L, Khelif K, Petersen C. Impact of concomitant thoracic interventions on feasibility of Nuss procedure. J Pediatr Surg. 2007;42:1853–1859
  13. Dzielicki J, Korlacki W, Janicka I, Dzielicka E. Difficulties and limitations in minimally invasive repair of pectus excavatum—6 years experiences with Nuss technique. Eur J Cardiothorac Surg. 2006;30:801–804
  14. Kim DH, Hwang JJ, Lee MK, Lee DY, Paik HC. Analysis of the Nuss procedure for pectus excavatum in different age groups. Ann Thorac Surg. 2005;80:1073–1077
  15. Park HJ, Lee IS, Kim KT. Extreme eccentric canal type pectus excavatum: morphological study and repair techniques. Eur J Cardiothorac Surg. 2008;34:150–154
  16. Pilegaard HK, Licht PB. Early results following the Nuss operation for pectus excavatum—a single-institution experience of 383 patients. Interact Cardiovasc Thorac Surg. 2008;7:54–57
  17. Croitoru DP, Kelly RE, Goretsky MJ, Lawson ML, Swoveland B, Nuss D. Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients. J Pediatr Surg. 2002;37:437–445
  18. Rescorla FJ. Jay and Margie Grosfeld lecture: what's new in pediatric surgery. J Pediatr Surg. 2008;44:43–52
  19. Durkin ET, Shaaban AF. Recent advances and controversies in pediatric laparoscopic surgery. Surg Clin N Am. 2008;88:1101–1119
  20. Kucharczuk JC, Kaiser LR. Surgery of pectus deformities. In:  Patterson GA,  Pearson F,  Griffith F,  Cooper JD,  Deslauriers J,  Rice TW, et al. editor. 3rd ed. Pearson's Thoracic and Esophageal Surgery. Volume 1:Philadelphia: Elsevier; 2008;p. 1336

 Disclosures: There is no external funding source for this study. There is no conflict of interest regarding this study.

PII: S0022-5223(09)01159-3

doi: 10.1016/j.jtcvs.2009.09.003

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 379-386 , February 2010

Article Tools

* Image Usage & Resolution