SDP three dimensional classification method for pectus excavatum_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 WANG Wenlin , CHEN Chunmei , LONG Weiguang , LI Xuejun

Department of Cardiothoracic Surgery, Guangdong Second Provincial General Hospital, Guangzhou, 510317, P.R.China;

Corresponding author：

WANG Wenlin, Email: willinew@126.com

Keywords：

Pectus excavatum; SDP classification method; three dimensional

DOI：

10.7507/1007-4848.201711022

Video：

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Objective To introduce a novel classification method for pectus excavatum. Methods A retrospective review of 569 operative patients with pectus excavatum between January 2015 and September 2017 in our hospital was performed. The malformations were described and classified from three dimensions: symmetry (abbreviated as S), depth (abbreviated as D) and position (abbreviated as P). The final integral was calculated according to the deformity index, so that the severity of the deformity could be evaluated. All patients underwent Nuss or modified Nuss surgery. Results All pectus excavatum deformities were classified into 24 types. The most common type was S1D2P1, accounting for 27.2% of the total patients followed by S1D2P2, S1D1P2 and S2D2P2, accounting for 12.0%, 11.6% and 11.4% of all patients respectively. S1D3P3, S1D3P4 and S2D3P3 were not found in our patients. According to the integral, 321 patients were mild, 23 severe, and the rest were moderate. The appearance of all patients improved after the operation. Among them, 405 patients were implanted with a plate, 159 with two plates and 5 with three plates. The length of hospital stay was 5-12 d, with an average of 7.3±1.5 d. Conclusion This classification method is a more comprehensive classification, but its scientific and practical characteristics need to be further confirmed.

Citation： WANG Wenlin, CHEN Chunmei, LONG Weiguang, LI Xuejun. SDP three dimensional classification method for pectus excavatum. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(10): 880-884. doi: 10.7507/1007-4848.201711022 Copy

1.	王文林. 鞍状胸的命名与形态学特征. 实用医学杂志, 2017, 33(增): 380-381.
2.	王文林. 沟状胸的命名与形态学特点. 实用医学杂志, 2016, 32(2): 335-336.
3.	王文林. 侧胸壁局限性凹陷的命名. 实用医学杂志, 2015, 31(增): 196.
4.	王文林, 龙伟光, 陈春梅, 等. 鸡胸的超微创手术. 实用医学杂志, 2015, 31(5): 863-864.
5.	王文林. 二次漏斗胸手术 39 例临床分析. 中国胸心血管外科临床杂志, 2016, 23(10): 1026-1028.
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7.	Park HJ, Lsy, Lee CS, et al. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg, 2004, 77(1): 289-295.
8.	Park HJ, Lee IS, Kim KT. Extreme eccentric canal type petus excavatum: morphological study and repair technique. European J Cardiothoracic Surg, 2008, 34(1): 150-154.
9.	曾骐, 张娜, 陈诚豪, 等. 漏斗胸的分型和微创 NUSS 手术. 中华外科杂志, 2008, 46(15): 1160-1162.
10.	Schwabegger AH. Pectus excavatum repair from a plastic surgeon’s perspective. Ann Cardiothorac Surg, 2016, 5(5): 501-512.
11.	Nuss D, Obermeyer RJ, Kelly RE. Pectus excavatum from a pediatric surgeon’s perspective. Ann Cardiothorac Surg, 2016, 5(5): 493-500.
12.	Kelly RE, Obermeyer RJ, Nuss D. Diminished pulmonary function in pectus excavatum: from denying the problem to finding the mechanism. Ann Cardiothorac Surg, 2016, 5(5): 466-475.
13.	Kanagaratnam A, Phan S, Tchantchaleishvilli S, et al. Ravitch versus Nuss procedure for pectus excavatum: systematic review and meta-analysis. Ann Cardiothorac Surg, 2016, 5(5): 409-421.
14.	Maagaard M, Heiberg J. Improved cardiac function and exercise capacity following correction of pectus excavatum: a review of current literature. Ann Cardiothorac Surg, 2016, 5(5): 485-492.
15.	Kim HK, Yoon JY, Han KN, et al. Effect of the Nuss procedure on the physical development of patients with pectus excavatum. Ann Thorac Cardiovasc Surg, 2016, 22(6): 327-332.
16.	Nuss D, Obermeyer RJ, Kelly RE. Nuss bar procedure: past, present and future. Ann Cardiothorac Surg, 2016, 5(5): 422-433.
17.	Park HJ, Kim KS. The sandwich technique for repair of pectus carinatum and excavatum/carinatum complex. Ann Cardiothorac Surg, 2016, 5(5): 434-439.
18.	Kocher GJ, Gstrein N, Jaroszewski DE, et al. Nuss procedure for repair of pectus excavatum after failed Ravitch procedure in adults: indications and caveats. J Thorac Dis, 2016, 8(8): 1981-1985.
19.	Pilegaard HK. Single centre experience on short bar technique for pectus excavatum. Ann Cardiothorac Surg, 2016, 5(5): 450-455.
20.	Wurtz A, Rousse N, Benhamed L, et al. Simplified open repair for anterior chest wall deformities. Aanalysis of results in 205 patients. Orthop Traumatol Surg Res, 2012, 98(3): 319-326.
21.	Pilegaard HK. Nuss technique in pectus excavatum: a mono-institutional experience. J Thorac Dis, 201, 7(Suppl 2): S172-S176.

1. 王文林. 鞍状胸的命名与形态学特征. 实用医学杂志, 2017, 33(增): 380-381.
2. 王文林. 沟状胸的命名与形态学特点. 实用医学杂志, 2016, 32(2): 335-336.
3. 王文林. 侧胸壁局限性凹陷的命名. 实用医学杂志, 2015, 31(增): 196.
4. 王文林, 龙伟光, 陈春梅, 等. 鸡胸的超微创手术. 实用医学杂志, 2015, 31(5): 863-864.
5. 王文林. 二次漏斗胸手术 39 例临床分析. 中国胸心血管外科临床杂志, 2016, 23(10): 1026-1028.
6. Kelly RE. Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation. Seminars in pediatric surg, 2008, 17(1): 181-193.
7. Park HJ, Lsy, Lee CS, et al. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg, 2004, 77(1): 289-295.
8. Park HJ, Lee IS, Kim KT. Extreme eccentric canal type petus excavatum: morphological study and repair technique. European J Cardiothoracic Surg, 2008, 34(1): 150-154.
9. 曾骐, 张娜, 陈诚豪, 等. 漏斗胸的分型和微创 NUSS 手术. 中华外科杂志, 2008, 46(15): 1160-1162.
10. Schwabegger AH. Pectus excavatum repair from a plastic surgeon’s perspective. Ann Cardiothorac Surg, 2016, 5(5): 501-512.
11. Nuss D, Obermeyer RJ, Kelly RE. Pectus excavatum from a pediatric surgeon’s perspective. Ann Cardiothorac Surg, 2016, 5(5): 493-500.
12. Kelly RE, Obermeyer RJ, Nuss D. Diminished pulmonary function in pectus excavatum: from denying the problem to finding the mechanism. Ann Cardiothorac Surg, 2016, 5(5): 466-475.
13. Kanagaratnam A, Phan S, Tchantchaleishvilli S, et al. Ravitch versus Nuss procedure for pectus excavatum: systematic review and meta-analysis. Ann Cardiothorac Surg, 2016, 5(5): 409-421.
14. Maagaard M, Heiberg J. Improved cardiac function and exercise capacity following correction of pectus excavatum: a review of current literature. Ann Cardiothorac Surg, 2016, 5(5): 485-492.
15. Kim HK, Yoon JY, Han KN, et al. Effect of the Nuss procedure on the physical development of patients with pectus excavatum. Ann Thorac Cardiovasc Surg, 2016, 22(6): 327-332.
16. Nuss D, Obermeyer RJ, Kelly RE. Nuss bar procedure: past, present and future. Ann Cardiothorac Surg, 2016, 5(5): 422-433.
17. Park HJ, Kim KS. The sandwich technique for repair of pectus carinatum and excavatum/carinatum complex. Ann Cardiothorac Surg, 2016, 5(5): 434-439.
18. Kocher GJ, Gstrein N, Jaroszewski DE, et al. Nuss procedure for repair of pectus excavatum after failed Ravitch procedure in adults: indications and caveats. J Thorac Dis, 2016, 8(8): 1981-1985.
19. Pilegaard HK. Single centre experience on short bar technique for pectus excavatum. Ann Cardiothorac Surg, 2016, 5(5): 450-455.
20. Wurtz A, Rousse N, Benhamed L, et al. Simplified open repair for anterior chest wall deformities. Aanalysis of results in 205 patients. Orthop Traumatol Surg Res, 2012, 98(3): 319-326.
21. Pilegaard HK. Nuss technique in pectus excavatum: a mono-institutional experience. J Thorac Dis, 201, 7(Suppl 2): S172-S176.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

SDP three dimensional classification method for pectus excavatum

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