Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi

Korkut Bostancı; Hakan Ozalper; Mustafa Yuksel

-

Yıl 2011, Cilt: 24 Sayı: 1, 38 - 43, 21.04.2015

Korkut Bostancı Hakan Ozalper Mustafa Yuksel

Öz

Anahtar Kelimeler

Kaynakça

1. Schamberger RC. Chest wall deformities. In: Shields TW, Locicero III J, Reed CE, Feins RH,eds. General Thoracic Surgery, 7th ed. Philadelphia: Lippincott Williams & Wilkins, 2009: 599.
2. Huddleston CB. Chest wall deformities. In: Patterson GA, Cooper JD, Deslauriers, J, Lerut AEMR, Luketich JD, Rice TW, eds. Pearson’s Thoracic & Esophageal Surgery, 3rd ed. Philadelphia: Churchill Livingstone Elsevier, 2008: 1236.
3. Ravitch MM. The operative treatment of pectus excavatum. Ann Surg 1949;129:429-444.
4. Nuss D, Kelly RE Jr, Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 1998;33(4):545-552. doi: 10.1016/S0022- 3468(98)90314-1
5. Park HJ, Lee SY, Lee CS, Youm W, Lee KR. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg 2004;77(1):289-295. doi: 10.1016/S0003-4975(03)01330-4
6. 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(5):801-804. doi: 10.1016/j.ejcts.2006.08.004
7. Nuss D. Minimally invasive surgical repair of pectus excavatum. Semin Pediatr Surg 2008;17(3):209-217. doi: 10.1053/sempedsurg.2008.03.003
8. 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(1):54- 57. doi: 10.1510/icvts.2007.160937
9. Pilegaard HK, Licht PB. Routine use of minimally invasive surgery for pectus excavatum in adults. Ann Thorac Surg 2008;86(3):952-956. doi: 10.1016/athoracsur.2008.04.078
10. Teh SH, Hanna AM, Pham TH, et al. Minimally invasive repair for pectus excavatum in adults. Ann Thorac Surg 2008;85(6):1914-1918. doi: 10.1016/jathoracsur.2008.03.011
11. Hebra A, Gauderer MW, Tagge EP, Adamson WT, Othersen HB Jr. A simple technique for preventing bar displacement with the Nuss repair of pectus excavatum. J Pediatr Surg 2001;36(8):1266-1268. doi: 10.1053/jpsu.2001.25791
12. Coln D, Gunning T, Ramsay M, Swygert T, Vera R. Demonstrating relief of cardiac compression with the Nuss minimally invasive repair for pectus excavatum. J Pediatr Surg 2006;41(4):683-686. doi: 10.1016/j.jpedsurg.2005.12.009
13. Hurme T, Savola J, Vilkki V. Minimally invasive repair for treating pectus excavatum - early results. Scand J Surg 2008;97(1):63-70.
14. Castellani C, Schalamon J, Saxena AK, Höellwarth ME. Early complications of the Nuss procedure for pectus excavatum: a prospective study. Pediatr Surg Int 2008;24(6):659-666. doi: 10.1007/s00383-008-2106-z
15. Hendrickson RJ, Bensard DD, Jarick JS, Partrick DA. Efficacy of left thorcoscopy and blunt mediastinal dissection during the Nuss procedure for pectus excavatum. J Pediatr Surg 2005;40:1312-1314. doi: 10.1016/j.jpedsurg.2005.05.017
16. Schaarschmidt K, Kolberg-Schwerdt A, Lempe M, Schlesinger F. Extrapleural submuscular bars placed by bilateral thoracoscopy: a new improvement in modified Nuss funnel chest repair. J Pediatr Surg 2005;40:1407-1410. doi: 10.1016/j.jpedsurg.2005.05.039
17. Palmer B, Yedline S, Kim S. Decreased risk of complications with bilateral thoracoscopy and left-to-right mediastinal dessection during minimally invasive repair of pectus excavatum. Eur J Pediatr Surg 2007;17:81-83.
18. Rushing GD, Goretsky MJ, Gustin T, Morales M, Kelly RE Jr, Nuss D. When it is not an infection: metal allergy after the Nuss procedure for repair of pectus excavatum. J Pediatr Surg 2007;42(1):93-97. doi: 10.1016/j.jpedsurg.2006.09.056
19. 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 2005;39:391-395. doi: 10.1016/j.jpedsurg.2003.11.012
20. Ong CC, Choo K, Morreau P. The learning curve in learning the curve: a review of Nuss procedure in teenagers. ANZ J Surg 2005;75:421-424. doi:10.1111/j.1445.2197.2005.03402.x
21. Calkins CM, Shew SB, Sharp RJ, et al. Management of postoperative infections after the minimally invasive pectus repair. J Pediatr Surg 2005;40:1004-1008. doi: 10.1016./j.jpdsurg.2005.03.017
22. Shin S, Goretsky MJ, Kelly RE Jr, Gustin T, Nuss D. Infectious complications after the Nuss repair in a series of 863 patients. J Pediatr Surg 2007;42:87-92. doi: 10.1016.j.jpedsurg.2006.09.057
23. 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(2):246-251. doi: 10.1016/S0022- 3468(00)90018-6
24. Metzelder ML, Kuebler JF, Leonhardt J, Ure BM, Petersen C. Self and parental assessment after minimally invasive repair of pectus excavatum: lasting satisfaction after bar removal. Ann Thorac Surg 2007;83:5:1844-9. doi: 10.1016/jathoracsur.2006.12.064

Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi

Yıl 2011, Cilt: 24 Sayı: 1, 38 - 43, 21.04.2015

Korkut Bostancı Hakan Ozalper Mustafa Yuksel

Öz

Amaç: Pektus ekskavatumun cerrahi tedavisinde minimal invaziv onarım tekniği giderek daha çok kabul görmekte, çocuklarda ve erişkinlerde başarıyla uygulanmaktadır. Bu çalışmada kliniğimizin pektus ekskavatum tedavisinde minimal invaziv onarım deneyimi değerlendirilmektedir. Hastalar ve Yöntemler: Ağustos 2005 - Kasım 2010 tarihleri arasında minimal invaziv onarım tekniği uygulanan 168 pektus ekskavatum olgusu retrospektif olarak incelendi. Olgular; genel demografik veriler, ameliyat endikasyonu, deformite şekli, ek anomali, aile öyküsü, önceki cerrahi düzeltmeler, bar sayısı, ameliyat süresi, ek girişim, analjezi yöntemi, perioperatuar ve postoperatuar komplikasyonlar, bar çekilmesi ve hasta memnuniyeti yönünden değerlendirildi. Bulgular: Olguların 141’i erkek, 27’si kadın, ortanca yaş 16 idi. 110 olguda deformite simetrik, 58’inde asimetrikti. En sık rastlanan ek anomali 27 olguda görülen skolyozdu. 26 olguda ailede deformite öyküsü mevcuttu. 14 olguya daha önce açık cerrahi uygulanmıştı. Olguların 105’inde 1, 58’inde 2, 5’inde 3 bar ile düzelme sağlanabildi. Ortanca operasyon süresi 60 dakika idi. En sık perioperatif komplikasyon 12 olguda gelişen pnömotorakstı. Geç dönemde en sık komplikasyon 8 olguda gelişen yara enfeksiyonuydu. 7 olguda planlanan sürenin sonuna barlar çekildi, 1 olgu dışında nüks görülmedi. Yaşam kalitesi anketlerinde olguların %94’ünün tedaviden memnun olduğu görüldü. Sonuç: Minimal invaziv onarım, başarılı kozmetik sonuçları ve yüksek hasta memnuniyeti ile pektus ekskavatumda yüz güldürücü bir tedavi yöntemidir.

Anahtar Kelimeler

Göğüs duvarı deformitesi, Pektus ekskavatum, Minimal invaziv cerrahi, Nuss prosedürü, MIRPE

Kaynakça

1. Schamberger RC. Chest wall deformities. In: Shields TW, Locicero III J, Reed CE, Feins RH,eds. General Thoracic Surgery, 7th ed. Philadelphia: Lippincott Williams & Wilkins, 2009: 599.
2. Huddleston CB. Chest wall deformities. In: Patterson GA, Cooper JD, Deslauriers, J, Lerut AEMR, Luketich JD, Rice TW, eds. Pearson’s Thoracic & Esophageal Surgery, 3rd ed. Philadelphia: Churchill Livingstone Elsevier, 2008: 1236.
3. Ravitch MM. The operative treatment of pectus excavatum. Ann Surg 1949;129:429-444.
4. Nuss D, Kelly RE Jr, Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 1998;33(4):545-552. doi: 10.1016/S0022- 3468(98)90314-1
5. Park HJ, Lee SY, Lee CS, Youm W, Lee KR. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg 2004;77(1):289-295. doi: 10.1016/S0003-4975(03)01330-4
6. 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(5):801-804. doi: 10.1016/j.ejcts.2006.08.004
7. Nuss D. Minimally invasive surgical repair of pectus excavatum. Semin Pediatr Surg 2008;17(3):209-217. doi: 10.1053/sempedsurg.2008.03.003
8. 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(1):54- 57. doi: 10.1510/icvts.2007.160937
9. Pilegaard HK, Licht PB. Routine use of minimally invasive surgery for pectus excavatum in adults. Ann Thorac Surg 2008;86(3):952-956. doi: 10.1016/athoracsur.2008.04.078
10. Teh SH, Hanna AM, Pham TH, et al. Minimally invasive repair for pectus excavatum in adults. Ann Thorac Surg 2008;85(6):1914-1918. doi: 10.1016/jathoracsur.2008.03.011
11. Hebra A, Gauderer MW, Tagge EP, Adamson WT, Othersen HB Jr. A simple technique for preventing bar displacement with the Nuss repair of pectus excavatum. J Pediatr Surg 2001;36(8):1266-1268. doi: 10.1053/jpsu.2001.25791
12. Coln D, Gunning T, Ramsay M, Swygert T, Vera R. Demonstrating relief of cardiac compression with the Nuss minimally invasive repair for pectus excavatum. J Pediatr Surg 2006;41(4):683-686. doi: 10.1016/j.jpedsurg.2005.12.009
13. Hurme T, Savola J, Vilkki V. Minimally invasive repair for treating pectus excavatum - early results. Scand J Surg 2008;97(1):63-70.
14. Castellani C, Schalamon J, Saxena AK, Höellwarth ME. Early complications of the Nuss procedure for pectus excavatum: a prospective study. Pediatr Surg Int 2008;24(6):659-666. doi: 10.1007/s00383-008-2106-z
15. Hendrickson RJ, Bensard DD, Jarick JS, Partrick DA. Efficacy of left thorcoscopy and blunt mediastinal dissection during the Nuss procedure for pectus excavatum. J Pediatr Surg 2005;40:1312-1314. doi: 10.1016/j.jpedsurg.2005.05.017
16. Schaarschmidt K, Kolberg-Schwerdt A, Lempe M, Schlesinger F. Extrapleural submuscular bars placed by bilateral thoracoscopy: a new improvement in modified Nuss funnel chest repair. J Pediatr Surg 2005;40:1407-1410. doi: 10.1016/j.jpedsurg.2005.05.039
17. Palmer B, Yedline S, Kim S. Decreased risk of complications with bilateral thoracoscopy and left-to-right mediastinal dessection during minimally invasive repair of pectus excavatum. Eur J Pediatr Surg 2007;17:81-83.
18. Rushing GD, Goretsky MJ, Gustin T, Morales M, Kelly RE Jr, Nuss D. When it is not an infection: metal allergy after the Nuss procedure for repair of pectus excavatum. J Pediatr Surg 2007;42(1):93-97. doi: 10.1016/j.jpedsurg.2006.09.056
19. 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 2005;39:391-395. doi: 10.1016/j.jpedsurg.2003.11.012
20. Ong CC, Choo K, Morreau P. The learning curve in learning the curve: a review of Nuss procedure in teenagers. ANZ J Surg 2005;75:421-424. doi:10.1111/j.1445.2197.2005.03402.x
21. Calkins CM, Shew SB, Sharp RJ, et al. Management of postoperative infections after the minimally invasive pectus repair. J Pediatr Surg 2005;40:1004-1008. doi: 10.1016./j.jpdsurg.2005.03.017
22. Shin S, Goretsky MJ, Kelly RE Jr, Gustin T, Nuss D. Infectious complications after the Nuss repair in a series of 863 patients. J Pediatr Surg 2007;42:87-92. doi: 10.1016.j.jpedsurg.2006.09.057
23. 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(2):246-251. doi: 10.1016/S0022- 3468(00)90018-6
24. Metzelder ML, Kuebler JF, Leonhardt J, Ure BM, Petersen C. Self and parental assessment after minimally invasive repair of pectus excavatum: lasting satisfaction after bar removal. Ann Thorac Surg 2007;83:5:1844-9. doi: 10.1016/jathoracsur.2006.12.064

Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Bölüm	Makaleler
Yazarlar	Korkut Bostancı Hakan Ozalper Bu kişi benim Mustafa Yuksel Bu kişi benim
Yayımlanma Tarihi	21 Nisan 2015
Yayımlandığı Sayı	Yıl 2011 Cilt: 24 Sayı: 1

Kaynak Göster

APA	Bostancı, K., Ozalper, H., & Yuksel, M. (2015). Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi. Marmara Medical Journal, 24(1), 38-43.
AMA	Bostancı K, Ozalper H, Yuksel M. Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi. Marmara Med J. Ağustos 2015;24(1):38-43.
Chicago	Bostancı, Korkut, Hakan Ozalper, ve Mustafa Yuksel. “Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi”. Marmara Medical Journal 24, sy. 1 (Ağustos 2015): 38-43.
EndNote	Bostancı K, Ozalper H, Yuksel M (01 Ağustos 2015) Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi. Marmara Medical Journal 24 1 38–43.
IEEE	K. Bostancı, H. Ozalper, ve M. Yuksel, “Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi”, Marmara Med J, c. 24, sy. 1, ss. 38–43, 2015.
ISNAD	Bostancı, Korkut vd. “Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi”. Marmara Medical Journal 24/1 (Ağustos 2015), 38-43.
JAMA	Bostancı K, Ozalper H, Yuksel M. Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi. Marmara Med J. 2015;24:38–43.
MLA	Bostancı, Korkut vd. “Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi”. Marmara Medical Journal, c. 24, sy. 1, 2015, ss. 38-43.
Vancouver	Bostancı K, Ozalper H, Yuksel M. Pektus Ekskavatum Deformitesinde Minimal İnvaziv Onarım Tekniği: Marmara Deneyimi. Marmara Med J. 2015;24(1):38-43.

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