漏斗胸的術前評估: 針對納氏手術(Nuss Procedure)的軟體開發及臨床之應用

Translated title of the contribution: Pre-Operation Evaluation of Pectus Excavatum: The Development and Clinical Application of Modeling Software for Nuss Procedure

Wen-Hsu Sung, 鄭 裕仁, 黃 明賢, 楊 明泉, 張 籐瀝, 謝 坤洲, 張 博智, 王 剛弘

Research output: Contribution to journalArticlepeer-review

Abstract

Pectus excavatum is an unbalanced growth in the costochondral regions resulting in depression deformity of the anterior chest wall. The surgical indications of such deformity are the physiologic and the psychological (cosmetic) effects. The minimal invasive Nuss procedure is the operation most adapted in recent years with the advantage of less invasion, short operation time and simple method. This procedure utilized a stainless Pectus bar, which is shaped as needed and put into the thoracic cavity, to push outward the depressed sternum. The main limitation of this procedure is that the operated surgeon makes the shape of the Pectus bar subjectively during the operation. If the chest wall deformity is complex or the experience of the surgeon is limited, it is then difficult for a surgeon to shape the Pectus bar satisfactorily. Therefore, it is our design that we can develop a computer-software to imitate the post-operative chest wall contour based on the pre-operative chest computer tomography of the patient. And we can shape the pectus bar pre-operatively according to the picture that the software figures out. Using this pre-shaped chest contour, we can show it to the patient before operation. Using the imitated picture of the chest contour we can discuss with the patient and the family about the most satisfactory chest wall contour they want and, thus, to avoid many post-operative legal problem. The software has been applied to 10 patients with acceptable results regarding to the estimated transverse chest wall length, antero-posterior chest wall length, the pectus index and the type of pectus bar we need. Nevertheless, there are some defects of the software and we will correct it in the near future.
Translated title of the contributionPre-Operation Evaluation of Pectus Excavatum: The Development and Clinical Application of Modeling Software for Nuss Procedure
Original languageChinese (Traditional)
Pages (from-to)1-7
Number of pages7
Journal台灣醫學
Volume15
Issue number1
DOIs
StatePublished - 25 Jan 2011

Keywords

  • Pectus excavatm
  • Nuss procedure
  • Software

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