ArticleJournal of chest surgery2023
Technical Advances in Pectus Bar Stabilization in Chest Wall Deformity Surgery: 10-Year Trends and an Appraisal with 1,500 Patients.
Article in Journal of chest surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Bibliometric and clinical review of nuss bar stabilization techniques: a four-phase evolution toward lower bar displacement rates (1998-2025).Pediatric surgery international · 2026Pooled it
- Bar-Related Infections After Minimally Invasive Repair of Pectus Excavatum: A 25-Year Single-Center Retrospective Cohort Study.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2026Article
- Wang technique: a novel minimally invasive surgical fixation technique for the treatment of pectus excavatum.Journal of thoracic disease · 2026Article
- Comparison of surgical approaches for pectus excavatum in children and adolescents: a single-center retrospective study.Frontiers in surgery · 2026Article
- Minimally invasive repair of pectus excavatum in children: insights from a large cohort at a single institution.Journal of thoracic disease · 2025Article
- Volume Change Measurements of the Heart and Lungs After Pectus Excavatum Repair.Journal of clinical medicine · 2025Article
- Comparison of the Outcomes of Double-Bar and Non-Double-Bar Techniques in the Minimally Invasive Repair of Pectus Excavatum: A Focus on Bar Removal and Complications.Journal of clinical medicine · 2025Article
- Bar Dislocation after Pectus Excavatum Repair: A Systematic Review of Risk Factors, Stabilization Techniques, and Management Strategies.Journal of chest surgery · 2025Review
- Novel techniques and future developments in minimally invasive pectus repair.Journal of thoracic disease · 2024Review
- Commentary: Technical Advancement of Pectus Bar Stabilization in Chest Wall Deformity Surgery: A 10-Year Trend and Appraisal with 1,500 Patients.Journal of chest surgery · 2023Article
- Crane-powered pectus excavatum repair: the NeoPectus surgery.Frontiers in surgery · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: We aimed to demonstrate the advances we have achieved in pectus excavatum surgery over the last 10 years, with a particular focus on the refinement of pectus bar stabilization techniques and devices. Methods: In total, 1,526 patients who underwent minimally invasive repair of pectus excavatum surgery from 2013 to 2022 were enrolled and analyzed. We have pursued a new paradigm of crane-powered remodeling of the entire chest wall. The method of bar stabilization has changed from claw fixators to hinge plates and, finally, to bridge plate connections. We also evaluated the effectiveness of the hinge plate (group H) and the bridge plate (group B). Results: The bar displacement rates were 0.1% (n=2) for the claw fixator, 0% for the hinge plate (n=0), and 0% for the bridge plate (n=0). We stopped using the claw fixator in 2022 and the hinge plate in 2019. Since 2022, when we shifted to a multiple-bar technique for all patients, the bridge plate has replaced both the claw fixator and the hinge plate. No bar displacement occurred in either group. Group H had more pleural effusion, wound problems (p<0.05), and longer stays (5.5 vs. 6.2 days, p=0.034) than group B. Conclusion: We have made significant progress in pectus repair surgery over the last decade, particularly in stabilizing the pectus bar and reducing perioperative complications. Our current strategy is the multiple-bar approach with bridge stabilization. Since the bridge-only technique resulted in no bar displacement, we could eliminate the invasive claw fixator or hinge plate.
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