Nuss Procedures using a Transilluminated Introducer

광투시 진입기구를 이용한 너스 수술

  • Lee, Seong-Jin (Department of Thoracic and Cardiovascular Surgery, Chunan Hospital, Soonchunhyang University College of Medicine) ;
  • Baek, Kang-Seok (Department of Thoracic and Cardiovascular Surgery, Chunan Hospital, Soonchunhyang University College of Medicine) ;
  • Jeon, Cheol-Woo (Department of Thoracic and Cardiovascular Surgery, Chunan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Seock-Yeol (Department of Thoracic and Cardiovascular Surgery, Chunan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Chol-Sae (Department of Thoracic and Cardiovascular Surgery, Chunan Hospital, Soonchunhyang University College of Medicine)
  • 이승진 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 백강석 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 전철우 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이석열 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이철세 (순천향대학교 의과대학 천안병원 흉부외과학교실)
  • Published : 2008.12.05

Abstract

The Nuss procedure has good cosmetic effects, but it could be cause of bleeding and organ injury during dissection of the anterior mediastinum. We have made an effort to overcome the defects of the traditional method through the anterior mediastinum, thus we developed a transilluminated introducer that made it safer and simpler to operate within a 1cm incision only. A total of 67 patients underwent the Nuss procedure using the transilluminated introducer. Thirty-six patients underwent the procedure with the transilluminated introducer only (age<4 years). Thirty-one patients had an additional thoracoscopy ($age{\geq}14\;years$). There were no major complications, such as massive bleeding or organ injury in the thoracic cavity during or after the Nuss procedure. Our findings demonstrated that the anterior mediastium could be dissected simply and safely by the use of a transilluminated introducer during the Nuss procedure without fatal major complications, such as bleeding and organ injury.

너스 수술은 미용적으로 우수한 수술법이나 전종격동 박리 시 출혈과 장기 손상을 유발할 수 있다. 저자들은 기존의 전종격동 통과방법이 갖고 있는 단점을 극복하기 위해 노력해 왔고, 보다 안전하고 간편하게 양측에 1cm의 수술 창으로 수술을 진행 할 수 있는 광투시 진입기구를 개발하게 되었다. 총 67명의 환자가 광투시 진입기구를 이용한 너스 수술을 시행 받았다. 36명은 광투시 진입기구만을 사용하였고(나이 <14), 31명은 흉강경을 추가로 이용하였다(나이 ${\geq}14$). 너스 수술 중이나 후에 흉강내 대량 출혈이나 장기손상 같은 주요합병증은 얼었다. 너스 수술에서 광투시 진입기구를 사용함으로써 출혈과 장기 손상 등 치명적인 합병증 없이 안전하고 간단하게 전종격동 박리를 할 수 있었다.

Keywords

References

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