Journal of Chest Surgery

  • 제45권5호
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  • Pages.308-315
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  • 2012
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Long-term Surveillance Comparing Satisfaction between the Early Experience of Nuss Procedure vs. Ravitch Procedure

  • Kang, Chang Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Park, Samina (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Park, In Kyu (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Young Tae (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Joo Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 투고 : 2011.12.28
  • 심사 : 2012.04.28
  • 발행 : 2012.10.05
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초록

Background: Long-term surveillance comparing satisfaction between the early experience of Nuss procedure vs. Ravitch procedure. Materials and Methods: A total of 100 patients that underwent surgical correction of a pectus excavatum between 2001 and 2004 and were followed for ${\geq}2$ years were included. Surveillance on the degree of satisfaction was performed using five-levels of the Likert scale and self-assessment scoring. Results: Nuss or Ravitch surgery was performed in 63 and 37 patients, respectively. The Nuss procedure required a shorter operation time and shorter hospital stay than the Ravitch procedure (p<0.001). The surveillance demonstrated that 17.6% of the Nuss group and 35.7% of the Ravitch group were not satisfied with the outcome of the surgery (p=0.072). The most common causes of dissatisfaction were redepression in the Nuss group (n=5) and incomplete correction in the Ravitch group (n=7). The multivariate analysis showed that reoperation and a high postoperative pectus index were significant risk factors for a low satisfaction score. Conclusion: The Nuss procedure had several advantages over the Ravitch procedure in the immediate postoperative period. However, the long-term satisfaction was determined by a complete correction without recurrence or need for re-intervention rather than by the operation type.

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참고문헌

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  2. Körperbild bei kongenitaler Brustwanddeformität : Systematisches Review vol.60, pp.6, 2015, https://doi.org/10.1007/s00278-015-0059-y
  3. Quality of life improves after minimally invasive repair of pectus excavatum vol.23, pp.3, 2012, https://doi.org/10.1177/0218492314553442
  4. Validity and Reliability of the Turkish Version of the Nuss Questionnaire Modified for Adults vol.48, pp.2, 2015, https://doi.org/10.5090/kjtcs.2015.48.2.112
  5. Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postoperative Patient Satisfaction vol.49, pp.1, 2012, https://doi.org/10.5090/kjtcs.2016.49.1.29
  6. A 20-year review of pectus surgery: an analysis of factors predictive of recurrence and outcomes vol.23, pp.6, 2012, https://doi.org/10.1093/icvts/ivw263