{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:05:41Z","timestamp":1777921541832,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Minimally invasive repair of pectus excavatum (MIRPE) technique is the current most used surgical method for pectus excavatum (PE) correction. To avoid MIRPE-required invasion of the mediastinum or pleural cavity, we developed taulinoplasty approach as an alternative option for the reduction of the sunken chest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      This is a single-center unblind nonrandomized prospective pilot study, involving 26 MIRPE and 23 taulinoplasty patients. The primary safety endpoint was the presence of surgical complications, and the primary efficacy endpoint was Haller index measured postoperatively in taulinoplasty patients. Secondary endpoints were intensive care unit (ICU) and hospital length of stay (LOS), duration of surgical procedure, and postoperative pain management. Chi-square, Mann\u2013Whitney, or Student \u201c\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      \u201d tests were used for comparison as appropriate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were no difference in median age (14.5 and 14 years), Haller index (4.63 and 4.17), or comorbidities. MIRPE and taulinoplasty procedures showed no difference regarding major or minor surgical complications. The efficacy endpoint of taulinoplasty was measured 5.5 (1.5\u201312) months after the procedure, exhibiting a significant reduction in the Haller index [4.17 (3.7\u20134.7) at baseline and 3.7 (2.9\u20134.1) postoperatively,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.03]. Taulinoplasty required less surgical time (60.4\u2009\u00b1\u200915.5 versus 70.7\u2009\u00b1\u200915.9 minutes,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01); shorter ICU and hospital LOS (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01, respectively); and required fewer days of peridural, intravenous, and oral analgesia (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In this pilot study, taulinoplasty technique was as safe as the MIRPE approach and effective for the correction of PE, reducing surgical time, ICU and hospital LOS, and achieving better postoperative pain control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2021.0216","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T23:49:09Z","timestamp":1638316149000},"page":"1402-1407","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Efficacy and Safety of Taulinoplasty Compared with the Minimally Invasive Repair of Pectus Excavatum Approach to Correct Pectus Excavatum"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7790-2166","authenticated-orcid":false,"given":"Bernardo","family":"N\u00fa\u00f1ez Garc\u00eda","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"\u00c1lvarez Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Aquino-Esperanza","sequence":"additional","affiliation":[{"name":"Institut d'Investigaci\u00f3 i Innovaci\u00f3 Parc Taul\u00ed I3PT, Sabadell, Spain."},{"name":"CIBERES, Instituto de Salud Carlos III, Madrid, Spain."},{"name":"Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Esteva Mir\u00f3","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mireia","family":"P\u00e9rez-Gaspar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Jim\u00e9nez G\u00f3mez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josu\u00e9 E.","family":"Betancourth Alvarenga","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saioa","family":"Santiago Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Jim\u00e9nez-Arribas","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier Roberto","family":"G\u00fcizzo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Parc Taul\u00ed University Hospital, Sabadell, 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