Simultaneous Bilateral Thoracoscopy During the Nuss Procedure is Safe, Effective, and Allows for Optimal Visualization of the Bar Passer Throughout the Substernal Dissection

Topic overview

Key takeaways

• Simultaneous bilateral thoracoscopy provides continuous visualization of the bar passer during substernal dissection, potentially reducing cardiac injury risk.
• Cardiac injury during Nuss procedure is rare but catastrophic; enhanced visualization techniques may improve safety margins.
• Bilateral thoracoscopy allows surgeons to monitor both hemithoraces simultaneously, offering superior anatomic awareness versus standard unilateral approach.
• This pilot study establishes feasibility and safety profile of SBT technique for pectus excavatum repair in pediatric patients.

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