A single-center retrospective analysis of reoperation after failed thoracic deformity surgery

doi:10.3877/cma.j.issn.2095-8773.2026.01.03

Abstract

Abstract:

Objective

To analyze the causes, clinical characteristics and key points of reoperation for thoracic deformity.

Methods

From January 2018 to December 2025 in The Affiliated Guangdong Second Provincial General Hospital of Jinan University, the clinical data of patients with thoracic deformity who underwent reoperation after failed surgery outside the hospital were retrospectively analyzed, including general information of patients, deformity characteristics, imaging results, operation time, intraoperative blood loss, postoperative hospital stay, and postoperative complications. The above results were statistically analyzed.

Results

A total of 312 patients were enrolled, including 258 males and 54 females, aged from 3 to 49 (19.98±9.83) years old. There were 270 cases of pectus excavatum, 18 cases of pectus carinatum, 9 cases of compound deformity, and 15 cases of unknown type. The patients were treated with Wang procedure, Wung procedure, Wenlin procedure, Wang + Wung procedure, Wang + Wenlin procedure, Wung + Wenlin procedure and comprehensive procedure, respectively. The total operation time was 55–285 (134.21±52.04) min, the intraoperative blood loss was 2–500 (74.63±114.48) mL, and the postoperative hospital stay was 4–60 (10.54±6.78) days. The longest follow-up time was 93 months, in which the steel plate had been removed in 126 cases, and there was no obvious recurrence of deformity during the follow-up after removal of the steel bars.

Conclusions

Once the thoracic deformity surgery fails, the risk of reoperation is high, and the procedure is technically difficult. Special methods are required for reoperation.

Key words: Thoracic deformity, Pectus excavatum, Pectus carinatum, Orthopedic surgery, Reoperation

Bin Cai, Wenlin Wang, Weiguang Long, Yang Liu, Juan Luo, Shaoyi Zheng, Zian Zeng, Na Li, Wen Gong. A single-center retrospective analysis of reoperation after failed thoracic deformity surgery[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2026, 13(01): 28-35.

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Figures/Tables 6

References 31

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参数	数量
性别
男	258
女	54
年龄（岁）	3~49（19.98±9.83）
原发胸廓畸形类型
漏斗胸	270
鸡胸	18
复合畸形	9
类型不详	15
既往接受手术次数
1次	270
2次	24
3次	9
4次	3
5次	3
次数不详	3
既往接受手术术式
胸骨翻转术	7
剑突切除术	2
Ravitch手术	21
Nuss手术	159
Abramson手术	12
Sandwich手术	3
术式不详	108
既往使用钢板条数
1条	141
2条	30
3条	6
数量不详	135

参数	数量
性别
男	258
女	54
年龄（岁）	3~49（19.98±9.83）
原发胸廓畸形类型
漏斗胸	270
鸡胸	18
复合畸形	9
类型不详	15
既往接受手术次数
1次	270
2次	24
3次	9
4次	3
5次	3
次数不详	3
既往接受手术术式
胸骨翻转术	7
剑突切除术	2
Ravitch手术	21
Nuss手术	159
Abramson手术	12
Sandwich手术	3
术式不详	108
既往使用钢板条数
1条	141
2条	30
3条	6
数量不详	135

再次手术术式	使用钢板数（条）	例数	手术时间（min）	术中出血量（mL）
Wang手术	1	15	88~160	2~15
	2	21	95~281	5~200
	3	6	191~209	50~100
Wung手术	1	6	83~114	10~20
	2	75	69~186	2~50
	3	3	97~145	50~160
Wenlin手术	1	6	81~123	20~100
	2	18	73~153	5~20
Wang+Wung手术	2	24	64~233	17.5±170
	3	21	94~275	100±180
Wang+Wenlin手术	2	15	125~254	5~300
	3	9	144~215	200~300
Wung+Wenlin手术	2	45	55~150	2~200
	3	36	71~273	50±185
综合术式	4	12	155~285	100~500

再次手术术式	使用钢板数（条）	例数	手术时间（min）	术中出血量（mL）
Wang手术	1	15	88~160	2~15
	2	21	95~281	5~200
	3	6	191~209	50~100
Wung手术	1	6	83~114	10~20
	2	75	69~186	2~50
	3	3	97~145	50~160
Wenlin手术	1	6	81~123	20~100
	2	18	73~153	5~20
Wang+Wung手术	2	24	64~233	17.5±170
	3	21	94~275	100±180
Wang+Wenlin手术	2	15	125~254	5~300
	3	9	144~215	200~300
Wung+Wenlin手术	2	45	55~150	2~200
	3	36	71~273	50±185
综合术式	4	12	155~285	100~500

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