SynthesisJournal of cardiothoracic surgery2026
Thoracoscopic versus non-thoracoscopic repair of pectus excavatum in children: a systematic review and meta-analysis.
Synthesis in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
objectiveTo compare perioperative outcomes between thoracoscopic (TPR) and non-thoracoscopic repair (NTPR) for pediatric pectus excavatum.
methodsA systematic literature search was conducted using PubMed and Embase to identify relevant comparative studies. Statistical analysis was performed using RevMan software, with continuous variables expressed as mean differences (MD) and dichotomous variables as odds ratios (OR), both with 95% confidence intervals (CI).
resultsFive studies (1,905 patients: 430 NTPR, 1,475 TPR) were included (four retrospective cohort studies and one prospective study). Patients undergoing TPR were significantly older (MD -0.69 years, 95% CI -1.10 to -0.29, P = 0.0008). NTPR was associated with significantly shorter operative time (MD -15.37 min, 95% CI -27.43 to -3.32, P = 0.01), though with substantial heterogeneity (I²=90%). Hospital stay was comparable between groups. While not statistically significant, TPR consistently showed lower complication rates: cardiothoracic injuries (0.13% vs. 0.98%), pneumothorax (1.5% vs. 4.4%), and overall complications (3.2% vs. 7.4%).
conclusionsTPR is associated with a favorable trend toward reduced postoperative complications compared to NTPR, although this did not reach statistical significance in the current analysis.
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