1Department of Thoracic Surgery, Istanbul University, Cerrahpasa Medical. Faculty ... Thoracic Surgery, Acıbadem University Atakent Hospital, Istanbul, Turkey.
Interactive CardioVascular and Thoracic Surgery
Abstracts 23rd European Conference on General Thoracic Surgery 31 May–3 June 2015, Lisbon, Portugal F-033 MINIMALLY INVASIVE REPAIR OF PECTUS EXCAVATUM IN PATIENTS WHO HAD UNDERGONE AN UNSATISFACTORY RAVITCH OPERATION K. Kaynak1, A. Onen2, M. Bilgin3, V. Karaçam2, A. Demirkaya4, E. Hekimoglu1, Akif Turna1 1 Department of Thoracic Surgery, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey; 2Department of Thoracic Surgery, Dokuz Eylul University Medical Faculty, Izmir, Turkey; 3Department of Thoracic Surgery, Erciyes University School of Medicine, Kayseri, Turkey; 4Department of Thoracic Surgery, Acıbadem University Atakent Hospital, Istanbul, Turkey Objectives: Minimal invasive surgical repair of chest wall deformities has become a standard practice. However, the role of minimal invasive surgery has not been revealed in the patients who were treated by open surgery previously. Methods: A total of 970 patients underwent minimally invasive repair of pectus excavatum between January 2010 and June 2014 in 3 centres. Fifty-five patients (5.6%) (42 males and 13 females) had a previous unsatisfactory open surgery
(Ravitch or modified Ravitch technique).The average age was 21.7 (range: 9-44) years. The mean Haller index was 3.35 (range: 2.1-6.2). Operation time, hospital stay and complications were compared between patients who had primary minimal invasive (P) and minimally invasive repair after a Ravitch operation (Redo). Results: Average operation time was 80.4 minutes (range: 30-150 min) and 40.6 minutes (range: 25-90 min) in the redo and P group, respectively. Duration of operation was longer in the redo group (P = 0.01). There was no mortality in either groups. In redo group, a single bar was placed in 4 patients (7.3%), whereas two bars were utilized in 51 patients (92.7%). Nine patients (16.4%) had complications. pectus bars were removed in 22 patients (40%) in redo group. There were no differences in terms of hospital stay and complication rate between the two groups (P = 0.22 and P = 0.14, respectively). Conclusions: Minimally invasive repair seems to be a safe and effective procedure despite longer operation time in in patients who had previously undergone unsatisfactory open repair. Disclosure: No significant relationships.
