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| No. | Article Type | Article Title | Article Page |
|---|---|---|---|
| 1 | Clinical Research | Recommendation for Clinical T Staging in Patients with Non-Small Cell Lung Cancer: Volumetric Measurement: A Retrospective Study from Turkey | 51 - 57 |
| 2 | Commentary | Commentary: Volumetry for Lung Nodule Assessment | 58 - 59 |
| 3 | Case Report | Sternal Reconstruction with Titanium Prosthesis for Complicated Sternal Dehiscence with Right Ventricle Herniation after Cardiac Surgery: A Case Report | 60 - 64 |
| 4 | How-to-do-it | Balloon and Glue Technique: A Modification of Distal Reinforcement to Prevent Anastomotic New Entry, Reducing Replacement Range in Acute Type A Aortic Dissection | 65 - 69 |
| 5 | Commentary | Commentary: The Balloon and Glue Technique in Acute Type A Aortic Dissection: Considerations for Optimization and Clinical Application | 70 - 72 |
| 6 | Historical Note | Historical Perspectives of the Korean Society for Thoracic and Cardiovascular Surgery: Sung Nok Hong (1927–2017) Who Performed the First Coronary Artery Bypass Graft in Korea | 73 - 76 |
| 7 | Correction | Correction: Commentary: Is the Data Strong Enough to Prorocolize the Approach in Diaphragmatic Hernia Repair? Aspects of Technique and the Sample Size of a Longitudinal Single-Center Study | 77 - 77 |
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Korean J Thorac Cardiovasc Surg 2004; 37(6): 524-529
Published online June 5, 2004
Copyright © Journal of Chest Surgery.
Hyung Joo Park, M.D.*, Wonho Chang, M.D.*, Cheol Woo Jeon, M.D.*, Han-Gyu Park, M.D.*,Seock Yeol Lee, M.D.*, Cheol Sae Lee, M.D.*, Wook Youm, M.D.*, Kihl Roh Lee, M.D.*
Department of Thoracic, and Cardiovascular Surgery, Soonchunhyang University, School of Medicine, and Chunan Hospital
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Since the Nuss procedure for the correction of pectus excavatum is in its early stage, there have been problems that need to be solved. We examined complications in a single-institute experience of the Nuss technique in order to develop possible solutions to prevent them. Material and Method: 335 consecutive patients, who underwent the modified Nuss procedure between August 1999 and October 2002, were studied retrospectively. Median age was 8 years (range 1 to 46). 264 patients (78.8%) were in pediatric group (age≤15) and 71 patients (21.2%) were in adult group (age＞15). 193 patients (57.6%) had symmetric and 142 patients (42.4%) had asymmetric pectus configurations. Risk factors predicting postoperative complications were analyzed using multivariate logistic regression. Result: Postoperative complication rates were 18.9% (61/335) in total patients. Frequent complications were pneumothorax 24 (7.5%), bar displacement 11 (3.4%), and wound seroma 10 (3.1%) in order. Early complications (within a month, 49 cases, 15.2%) were pneumothorax (n=23, 6.9%), wound seroma (n=12, 3.6%), and bar displacement (n=8, 2.4%). Late complications (after a month, 12 cases, 3.7%) were pericarditis and pericardial effusion (n=5, 1.5%), bar displacement (n=4, 1.2%), and hemothorax (n=3, 0.9%). Techniques were modified to prevent complications especially in bar shaping and fixation, which led to decrease complication rate in later experience (Operation Date 1: 15/51 (29.4%) vs Operation Date 2: 34/284 (12.0%), p=0.004). Grand Canyon type (eccentric long canal type) showed higher complication rate than other types (GC type: 12/30(40%) vs Others: 37/305 (12.1%), p＜0.001). Major risk factors are severity of pectus (OR=2.88, p=0.038), Grand Canyon type (OR= 2.82, p=0.044), and Op. Date 1 (OR=4.05, p=0.001). Conclusion: Major complications were related to severe eccentric type of pectus configuration (Grand Canyon type) and lack of surgeon's experience (Op. Date 1). Complication rate was reduced with accumulation of experience and advancement of surgical techniques. The Nuss procedure can be performed at a low risk of complications with our current technique. (Korean J Thorac Cardiovasc Surg 2004;37:524-529
Keywords: 1. Thorax 2. Complication 3. Funnel chest 4. Risk analysis
Korean J Thorac Cardiovasc Surg 2004; 37(6): 524-529
Published online June 5, 2004
Copyright © Journal of Chest Surgery.
Hyung Joo Park, M.D.*, Wonho Chang, M.D.*, Cheol Woo Jeon, M.D.*, Han-Gyu Park, M.D.*,Seock Yeol Lee, M.D.*, Cheol Sae Lee, M.D.*, Wook Youm, M.D.*, Kihl Roh Lee, M.D.*
Department of Thoracic, and Cardiovascular Surgery, Soonchunhyang University, School of Medicine, and Chunan Hospital
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Since the Nuss procedure for the correction of pectus excavatum is in its early stage, there have been problems that need to be solved. We examined complications in a single-institute experience of the Nuss technique in order to develop possible solutions to prevent them. Material and Method: 335 consecutive patients, who underwent the modified Nuss procedure between August 1999 and October 2002, were studied retrospectively. Median age was 8 years (range 1 to 46). 264 patients (78.8%) were in pediatric group (age≤15) and 71 patients (21.2%) were in adult group (age＞15). 193 patients (57.6%) had symmetric and 142 patients (42.4%) had asymmetric pectus configurations. Risk factors predicting postoperative complications were analyzed using multivariate logistic regression. Result: Postoperative complication rates were 18.9% (61/335) in total patients. Frequent complications were pneumothorax 24 (7.5%), bar displacement 11 (3.4%), and wound seroma 10 (3.1%) in order. Early complications (within a month, 49 cases, 15.2%) were pneumothorax (n=23, 6.9%), wound seroma (n=12, 3.6%), and bar displacement (n=8, 2.4%). Late complications (after a month, 12 cases, 3.7%) were pericarditis and pericardial effusion (n=5, 1.5%), bar displacement (n=4, 1.2%), and hemothorax (n=3, 0.9%). Techniques were modified to prevent complications especially in bar shaping and fixation, which led to decrease complication rate in later experience (Operation Date 1: 15/51 (29.4%) vs Operation Date 2: 34/284 (12.0%), p=0.004). Grand Canyon type (eccentric long canal type) showed higher complication rate than other types (GC type: 12/30(40%) vs Others: 37/305 (12.1%), p＜0.001). Major risk factors are severity of pectus (OR=2.88, p=0.038), Grand Canyon type (OR= 2.82, p=0.044), and Op. Date 1 (OR=4.05, p=0.001). Conclusion: Major complications were related to severe eccentric type of pectus configuration (Grand Canyon type) and lack of surgeon's experience (Op. Date 1). Complication rate was reduced with accumulation of experience and advancement of surgical techniques. The Nuss procedure can be performed at a low risk of complications with our current technique. (Korean J Thorac Cardiovasc Surg 2004;37:524-529
Keywords: 1. Thorax 2. Complication 3. Funnel chest 4. Risk analysis
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