ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
The factors determining the complications in the minimally invasive surgical correction of pectus excavatum
Ahmet Demirkaya1, Fatma Şimşek1, Ezel Erşen1, Burcu Aksoy1, Cem Sayılgan2, Akif Turna1, Kamil Kaynak1
1İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İstanbul
2İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul
DOI : 10.5606/tgkdc.dergisi.2011.013
Background: In this study, we determined the factors determining the complications in the minimally invasive correction of pectus excavatum.

Methods: Two hundred and eleven consecutive patients (187 males, 24 females; mean age 17.7 years; range 5 to 45 years) who had undergone minimally invasive intervention for the repair of pectus excavatum in our clinic between June 2006 and November 2010 were restrospectively evaluated. The preoperative clinical data, surgical findings, and postoperative complications of all patients were recorded.

Results: Thirty-eight complications (18%) developed in a total of 34 (16.1%) patients. The most common complications were bar shift or rotation requiring reoperation (n=13; 1.6%). When the complications that developed in the patients were evaluated with univariate analysis, male gender, multiple bar implantation (p=0.001) and age over 20 years were found as risk factors. However, in the multivariate analysis, only age over 20 years was found to increase the risk of complications (p=0.18). The mean duration of postprocedural hospitalization was 4.74 (range 2 to 21) days.

Conclusion: In the minimally invasive correction of pectus excavatum, differently from the classical method, the long-term aesthetic result is excellent as there is no need for pectoral muscle flap lifting, cartilage resection or sternal osteotomy. The procedure may also be performed in adult patients. The rate of postoperative complications in male patients over the age of 20 is slightly higher but acceptable.

Keywords : Complication; minimally invasive technique; Nuss method; pectus excavatum
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