KẾT QUẢ ĐIỀU TRỊ LÕM NGỰC BẨM SINH TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Pectus excavatum is a congenital chest wall deformity caused by abnormal development of certain ribs and the sternum, leading to a sunken appearance of the chest. Surgical treatment for pectus excavatum, commonly performed by thoracic surgeons, includes the Ravitch technique and, more recently, the Nuss procedure. Objective: To describe clinical features and to evaluate the treatment results of pectus excavatum patients who underwent the Nuss procedure. Materials and methods: A retrospective cross-sectional descriptive study was conducted on 143 medical records of patients diagnosed with congenital pectus excavatum who underwent the Nuss procedure at Can Tho General Hospital from April 2014 to August 2024. Results: The mean age was 17.04 ± 4.66 years, with males accounting for 83.91% and females 16.09%. The Haller index was greater than 3.23. One bar was used in 55.5% of cases, while two bars were used in 44.5% of cases. Thoracoscopy was performed in 5.59% of patients. The average length of hospital stay was 9.1 ± 2.45 days. Postoperative complications occurred in 12 cases (8.3%), including one case of bar removal during surgery due to a suspected cardiac arrest, one case of chest wall bleeding, one case of the lung being positioned between the bar and chest wall, and nine cases of pneumothorax. No mortality was reported. A total of 62 patients had their bars removed, with 83.3% showing excellent outcomes and 16.7% showing good outcomes. Conclusion: The Nuss procedure for the treatment of pectus excavatum at Can Tho General Hospital has proven to be an effective, safe, and minimally invasive approach with a low incidence of complications.