New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide
This study establishes a minimal access hybrid technique for pectus carinatum repair. Based on 132 conventional repairs (1984–2000) and our own endoscopic technique for correcting prominent costal arches, the conventional carinatum repair was adapted to an endoscopic-assisted technique. Inserting tw...
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| Veröffentlicht in: | The Annals of thoracic surgery 2006-03, Vol.81 (3), p.1099-1103 |
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| creator | Schaarschmidt, Klaus Kolberg-Schwerdt, Andreas Lempe, Michael Schlesinger, Frank |
| description | This study establishes a minimal access hybrid technique for pectus carinatum repair. Based on 132 conventional repairs (1984–2000) and our own endoscopic technique for correcting prominent costal arches, the conventional carinatum repair was adapted to an endoscopic-assisted technique.
Inserting two submuscular trocars and inflating CO
2, the entire ventral thoracic wall was dissected endoscopically detaching pectoral muscles from ribs and sternum. February 2001 to February 2004, we repaired 37 patients (32 male) of 16.8 ± 4.3 years (12 to 36 years). Endoscopic-assisted rib resection and axial reanastomosis, transsternal struts, and sternotomies were performed semi-open from a 2.9 to 4.7 cm incision.
All were completed minimally invasively, one seroma was managed conservatively. Thirty-three patients rated their result as excellent, 4 as good with a follow-up of 29.1 ± 9.5 months (range, 18 to 55 months). Twenty-one struts were removed with no recurrence.
Minimal access pectus carinatum repair is safe, effective, and offers high comfort for the patient. The results are at least as good as conventional repairs, but hospital stays could be halved. Encouraging results of this early experience warrant further evaluation by other centers. |
| doi_str_mv | 10.1016/j.athoracsur.2005.10.042 |
| format | Article |
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Inserting two submuscular trocars and inflating CO
2, the entire ventral thoracic wall was dissected endoscopically detaching pectoral muscles from ribs and sternum. February 2001 to February 2004, we repaired 37 patients (32 male) of 16.8 ± 4.3 years (12 to 36 years). Endoscopic-assisted rib resection and axial reanastomosis, transsternal struts, and sternotomies were performed semi-open from a 2.9 to 4.7 cm incision.
All were completed minimally invasively, one seroma was managed conservatively. Thirty-three patients rated their result as excellent, 4 as good with a follow-up of 29.1 ± 9.5 months (range, 18 to 55 months). Twenty-one struts were removed with no recurrence.
Minimal access pectus carinatum repair is safe, effective, and offers high comfort for the patient. The results are at least as good as conventional repairs, but hospital stays could be halved. Encouraging results of this early experience warrant further evaluation by other centers.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2005.10.042</identifier><identifier>PMID: 16488731</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Carbon Dioxide - therapeutic use ; Child ; Female ; Funnel Chest - surgery ; Humans ; Length of Stay ; Male ; Medical sciences ; Reoperation - statistics & numerical data ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the respiratory system ; Thoracic Wall - abnormalities ; Thoracic Wall - surgery ; Thoracoscopy - methods</subject><ispartof>The Annals of thoracic surgery, 2006-03, Vol.81 (3), p.1099-1103</ispartof><rights>2006 The Society of Thoracic Surgeons</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-9b47172c6ba062675248c3adbe7e94811e90ef91a79b121b36a74506501a720c3</citedby><cites>FETCH-LOGICAL-c488t-9b47172c6ba062675248c3adbe7e94811e90ef91a79b121b36a74506501a720c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17567405$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16488731$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schaarschmidt, Klaus</creatorcontrib><creatorcontrib>Kolberg-Schwerdt, Andreas</creatorcontrib><creatorcontrib>Lempe, Michael</creatorcontrib><creatorcontrib>Schlesinger, Frank</creatorcontrib><title>New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>This study establishes a minimal access hybrid technique for pectus carinatum repair. Based on 132 conventional repairs (1984–2000) and our own endoscopic technique for correcting prominent costal arches, the conventional carinatum repair was adapted to an endoscopic-assisted technique.
Inserting two submuscular trocars and inflating CO
2, the entire ventral thoracic wall was dissected endoscopically detaching pectoral muscles from ribs and sternum. February 2001 to February 2004, we repaired 37 patients (32 male) of 16.8 ± 4.3 years (12 to 36 years). Endoscopic-assisted rib resection and axial reanastomosis, transsternal struts, and sternotomies were performed semi-open from a 2.9 to 4.7 cm incision.
All were completed minimally invasively, one seroma was managed conservatively. Thirty-three patients rated their result as excellent, 4 as good with a follow-up of 29.1 ± 9.5 months (range, 18 to 55 months). Twenty-one struts were removed with no recurrence.
Minimal access pectus carinatum repair is safe, effective, and offers high comfort for the patient. The results are at least as good as conventional repairs, but hospital stays could be halved. Encouraging results of this early experience warrant further evaluation by other centers.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Carbon Dioxide - therapeutic use</subject><subject>Child</subject><subject>Female</subject><subject>Funnel Chest - surgery</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Reoperation - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the respiratory system</subject><subject>Thoracic Wall - abnormalities</subject><subject>Thoracic Wall - surgery</subject><subject>Thoracoscopy - methods</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE2P0zAQhi0EYrsLfwH5AreUseOP5LiUZUFaPgQsV8txpuAqjYMn4ePf46qVeuRkeeYZz-uHMS5gLUCYl7u1n3-k7AMteS0BdCmvQckHbCW0lpWRun3IVgBQV6q1-oJdEu3KVZb2Y3YhjGoaW4sV-_YBf_ObsU8U0hQDfx_HuPcDvw4BifgnDPNCfONzHP287PlnnHzM_J7i-J1_WbqpACXIcEC6NPLXMf2JPT5hj7Z-IHx6Oq_Y_Zubr5u31d3H23eb67sqlABz1XbKCiuD6TwYaayWqgm17zu02KpGCGwBt63wtu2EFF1tvFUajIZSkhDqK_bi-O6U088FaXb7SAGHwY-YFnLGGgtKQQGbIxhyIsq4dVMuH81_nQB3cOp27uzUHZweOsVpGX122rF0e-zPgyeJBXh-AjwFP2yzH0OkM2e1sQp04V4dOSxGfkXMjkLEMWAfc9Ho-hT_n-YfBfOZdw</recordid><startdate>20060301</startdate><enddate>20060301</enddate><creator>Schaarschmidt, Klaus</creator><creator>Kolberg-Schwerdt, Andreas</creator><creator>Lempe, Michael</creator><creator>Schlesinger, Frank</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060301</creationdate><title>New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide</title><author>Schaarschmidt, Klaus ; Kolberg-Schwerdt, Andreas ; Lempe, Michael ; Schlesinger, Frank</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-9b47172c6ba062675248c3adbe7e94811e90ef91a79b121b36a74506501a720c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Carbon Dioxide - therapeutic use</topic><topic>Child</topic><topic>Female</topic><topic>Funnel Chest - surgery</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Reoperation - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the respiratory system</topic><topic>Thoracic Wall - abnormalities</topic><topic>Thoracic Wall - surgery</topic><topic>Thoracoscopy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schaarschmidt, Klaus</creatorcontrib><creatorcontrib>Kolberg-Schwerdt, Andreas</creatorcontrib><creatorcontrib>Lempe, Michael</creatorcontrib><creatorcontrib>Schlesinger, Frank</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schaarschmidt, Klaus</au><au>Kolberg-Schwerdt, Andreas</au><au>Lempe, Michael</au><au>Schlesinger, Frank</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2006-03-01</date><risdate>2006</risdate><volume>81</volume><issue>3</issue><spage>1099</spage><epage>1103</epage><pages>1099-1103</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>This study establishes a minimal access hybrid technique for pectus carinatum repair. Based on 132 conventional repairs (1984–2000) and our own endoscopic technique for correcting prominent costal arches, the conventional carinatum repair was adapted to an endoscopic-assisted technique.
Inserting two submuscular trocars and inflating CO
2, the entire ventral thoracic wall was dissected endoscopically detaching pectoral muscles from ribs and sternum. February 2001 to February 2004, we repaired 37 patients (32 male) of 16.8 ± 4.3 years (12 to 36 years). Endoscopic-assisted rib resection and axial reanastomosis, transsternal struts, and sternotomies were performed semi-open from a 2.9 to 4.7 cm incision.
All were completed minimally invasively, one seroma was managed conservatively. Thirty-three patients rated their result as excellent, 4 as good with a follow-up of 29.1 ± 9.5 months (range, 18 to 55 months). Twenty-one struts were removed with no recurrence.
Minimal access pectus carinatum repair is safe, effective, and offers high comfort for the patient. The results are at least as good as conventional repairs, but hospital stays could be halved. Encouraging results of this early experience warrant further evaluation by other centers.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16488731</pmid><doi>10.1016/j.athoracsur.2005.10.042</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Biological and medical sciences Carbon Dioxide - therapeutic use Child Female Funnel Chest - surgery Humans Length of Stay Male Medical sciences Reoperation - statistics & numerical data Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Thoracic Wall - abnormalities Thoracic Wall - surgery Thoracoscopy - methods |
| title | New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide |
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