Articles Vol. 67 No. CĐ7-Trường ĐH Y Dược Hải Phòng 06/07/2026

CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS UNDERGOING SURGICAL TREATMENT FOR PECTUS EXCAVATUM USING THORACOSCOPIC-ASSISTED NUSS PROCEDURE AT THE VIETNAM NATIONAL CHILDREN’S HOSPITAL

Nguyen Minh Hai1,2, Nguyen Van Linh3,4, Hoang Anh Cong5,6
1 Hai Phong Children's Hospital – Viet Duc Street, Kien An Ward, Hai Phon
2 Bệnh viện Nhi Hải Phòng – Phố Việt Đức, phường Kiến An, Hải Phòng
3 National Children's Hospital – No. 18, Lane 879, La Thanh Road, Lang Ward, Hanoi
4 Bệnh viện Nhi Trung Ương – Số 18 ngõ 879 đường La Thành, phường Láng, Hà Nội
5 Viet Tiep Friendship Hospital – No. 1 Nha Thuong Street, Le Chan Ward, Hai Phong
6 Bệnh viện Hữu Nghị Việt Tiệp – Số 1 phố Nhà Thương, phường Lê Chân, Hải Phòng
DOI: 10.52163/yhc.v67iCD7.5600
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Keywords
Nuss procedure, pectus excavatum, video-assisted-thoracoscopic
Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with pectus excavatum undergoing thoracoscopic-assisted Nuss procedure at the Vietnam National Children’s Hospital

Subjects and Methods: A descriptive case series combining retrospective and prospective data on 131 patients with pectus excavatum who underwent thoracoscopic-assisted Nuss procedure at the Vietnam National Children’s Hospital (January 2023–December 2025)

Results: The mean age was 10.3 ± 3.3 years, with male predominance (74.05%). Most patients presented with chest depression (96.92%) and were detected before puberty (68.7%). The deformity was mainly simple and symmetric (99.2%), predominantly type 1A (97.71%). Chest X-ray and echocardiography were mostly normal (96.95% and 95.41%, respectively). The mean Haller index was 3.92 ± 1.01, mean ejection fraction was 66 ± 8.17%, and pulmonary function was generally normal

Conclusion: To conduct a thorough assessment and analysis the clinical and paraclinical characteristics of each patient before surgery, serving as a basis for optimizing treatment outcomes and advancing personalized treatment strategies.

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