Pulmonary function in children with Pectus excavatum and post-operative changes after nuss procedure
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The aim of this study was to show the difference between the pulmonary function of children with mild or severe types of pectus excavatum (PE) and post-operative changes in their predicted vital capacity (%VC) following Nuss procedure.
Patients and methods
One hundred and twenty-four of the 208 children who underwent Nuss procedure for PE between January 2007 and March 2016 were deemed eligible for this study and evaluated retrospectively. A spirometry was performed on these children on four occasions: before operation; pre-bar removal; and 1 month and 1 year after bar removal. Ninety-seven of the children who were more than 7 years of age were divided using the Haller Index (HI) into a mild group (n = 54) and a severe group (n = 43) and compared. The children were also divided into three groups based on their age and their %VC was compared at each follow-up occasion.
The severe group showed a significantly lower %VC and peak expiratory flow rate than the mild group. %VC change after bar removal showed significantly lower in group aged 11 or over. 43 of the children had spirometry data recorded 1 year after bar removal which, compared with 1 month after bar removal, showed a significant higher %VC in groups aged of 10 or under.
Nuss procedure in children aged of 10 or under proved to be an advantage in the post-operative pulmonary function.
KeywordsPulmonary function Pectus excavatum Spirometry Predicted vital capacity Nuss procedure
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 3.Kelly RE Jr, Shamberger RC, Mellins RB et al (2007) Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection. J Am Coll Surg 205:205–216CrossRefPubMedGoogle Scholar
- 9.Nonoyama A, Tanaka K, Kagawa K et al (1985) Pulmonary function after lobectomy in children under ten years of age. Nihon Kyobu Geka Gakkai Zasshi (Japanese) 33:818–824Google Scholar