{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:52:11Z","timestamp":1791471131220,"version":"4.3.4"},"reference-count":23,"publisher":"Index Copernicus","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2024,11,20]]},"abstract":"<ns3:p>&lt;b&gt;Introduction:&lt;\/b&gt; &lt;i&gt;Pectus excavatum&lt;\/i&gt; (PE) is the most common chest wall deformity. Minimally invasive repair techniques based on the Nuss procedure are a mainstay of treatment. However, intraoperative cardiac injury, though rare, can be a devastating complication.&lt;b&gt;Aim:&lt;\/b&gt; This study aimed to evaluate a modification of the Nuss procedure designed to minimize the risk of serious complications.&lt;b&gt;Material and methods:&lt;\/b&gt; A retrospective analysis of medical records for 38 patients treated with a modified Nuss procedure forPE was conducted. The specific modifications to the surgical technique were described.&lt;b&gt;Results:&lt;\/b&gt; No intraoperative complications were observed in the analyzed patients. In 3 patients (7.9%), early complicationsafter surgery occurred, with none relating to the modification of the surgical technique.&lt;b&gt;Discussion:&lt;\/b&gt; Minimally invasive PE repair carries a risk of serious complications, prompting the development of variousmodifications. These modifications often involve techniques of sternal elevation and retrosternal dissection to achieve clearview throughout the procedure.&lt;b&gt;Conclusions:&lt;\/b&gt; The Nuss procedure with sternal elevation and thoracoscopic retrosternal dissection offers a simple andpotentially safer approach to PE repair.<\/ns3:p>","DOI":"10.5604\/01.3001.0054.8463","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T12:12:42Z","timestamp":1741090362000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Safety enhancement in Nuss procedure: sternal elevation and thoracoscopic dissection"],"prefix":"10.5604","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3369-6860","authenticated-orcid":false,"given":"Mateusz","family":"Ciopi\u0144ski","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery and Organ Transplantation, The Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"Marciniak","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Organ Transplantation, The Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krzysztof","family":"Bogucki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Organ Transplantation, The Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Mitrowski","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Organ Transplantation, The Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weronika","family":"Chaci\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Organ Transplantation, The Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulina","family":"Chodnicka","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, The Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0555-2229","authenticated-orcid":false,"given":"Piotr","family":"Kalici\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Organ Transplantation, The Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"625435r1","doi-asserted-by":"crossref","unstructured":"Cobben J.M., Oostra R.J., van Dijk F.S.: Pectus excavatum and carinatum. 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