To compare the clinical utility of two modified Nuss procedures in children and adolescents with pectus excavatum (PE), including single-incision modified Nuss and modified Nuss with non-flipping bar, and to provide evidence-based guidance for individualized surgical selection.
Key Findings:
The non-flipping bar group had longer median operative time and more incisions, with limited clinical significance.
No significant differences in overall complication rates or postoperative recovery indicators between the two groups.
After propensity score matching, no statistical difference in therapeutic efficacy was found.
Interpretation:
Both surgical techniques are effective and safe for treating pectus excavatum in pediatric patients, with comparable outcomes, suggesting that surgical selection should be individualized based on patient characteristics and deformity specifics.
Limitations:
Retrospective design may introduce selection bias and affect the generalizability of the findings.
Limited sample size for the non-flipping bar group.
Conclusion:
Both surgical approaches are viable options for pectus excavatum correction in children and adolescents, with the choice of technique tailored to individual patient needs.
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