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Pulmonary function in children with Pectus excavatum and post-operative changes after nuss procedure

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Abstract

Purpose

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.

Results

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.

Conclusion

Nuss procedure in children aged of 10 or under proved to be an advantage in the post-operative pulmonary function.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki-City, Okayama, 701-0192, Japan

    Hisako Kuyama, Sadashige Uemura, Atsushi Yoshida & Mayumi Yamamoto

Authors
  1. Hisako Kuyama
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  2. Sadashige Uemura
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  3. Atsushi Yoshida
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  4. Mayumi Yamamoto
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Corresponding author

Correspondence to Hisako Kuyama.

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The authors declare that they have no conflict of interest.

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Kuyama, H., Uemura, S., Yoshida, A. et al. Pulmonary function in children with Pectus excavatum and post-operative changes after nuss procedure. Pediatr Surg Int 34, 1099–1103 (2018). https://doi.org/10.1007/s00383-018-4319-0

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  • DOI: https://doi.org/10.1007/s00383-018-4319-0

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