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. 2018 Oct;10(Suppl 29):S3500–S3506. doi: 10.21037/jtd.2018.05.115

ESTS operative chest wall.

Group definition 0: lung, 1: pleura, 2: chest wall, 3: trachea: bronchus, 4: mediastinum, 5: upper GI, 6: diaphragm
Group other procedure
VATS 0: no, 1: yes
Chest wall subgroup 0: chest wall, 1: costal cartilage, 2: chest wall incision, 3: reconstruction, 4: rib, 5: thoracoplasty
Chest wall procedures 0: biopsy of chest wall lesion, 1: creation of thoracic stoma, 2: excision of chest wall lesion, 3: repair of chest wall, 4: excision/repair of chest wall, 5: correction of chest wall defects
Qualifier excision of chest wall lesion 0: distant flap, 1: local flap, 2: microvascular transferred flap
Qualifier for repair of chest wall 0: plugging flail chest, 1: suture, 2: osteosynthesis
Excision repair qualifier 0: prosthesis, 1: muscle flap, 2: myocutaneous flap, 3: omentum
Costal cartilage procedure 1: excision of costal cartilage, 2: excision of xifisternum, 3: fixation of costal cartilage
Chest wall incision procedures 0: exploratory median sternotomy, 1: exploratory thoracotomy, 2: mini thoracotomy, 3: previous chest wall incision
Correction of chest wall defects qualifier 0: pectus bar removal, 1: pectus carinatum correction, 2: pectus excavatum correction, 3: pectus silicon implant, 4: pectus arcuatum, 5: mixed deformity, 6: pectus repair
Rib procedures 0: rib resection, 1: rib resection for drainage, 2: rib fixation
Qualifier for rib resection 0: biopsy, 1: for pain, 2: fracture
Thoracoplasty procedures 0: plombage procedure, 1: thoracoplasty procedure
Qualifier for plombage 0: insertion of plomb, 1: removal of plomb
Qualifier for thoracoplasty 0: limited thoracoplasty, 1: schede thoracoplasty, 2: total thoracoplasty
Costal cartilage procedures 1: excision of costal cartilage, 2: excision of xifisternum, 3: fixation of costal cartilage
Qualifier pectus carenatum 0: with internal fixation, 1: without internal fixation
Rib sternal fixation 1: referral for surgery, 2: acute trauma, 3: malunion, 4: post-surgical fixation, 5: chronic pain, 6: inability to wean from ventilator
Flail chest 0: no, 1: yes
Surgery 0: no, 1: yes
System used 1: abiomet, 2: synthes, 3: stratos/stracos, 4: acute innovation rib lock, 5: gunze absorbable pins, 6: orthopedic non-thoracic specific devices
Number of plates used
Number of screws used
Acute trauma and fixation within 48 h 0: no, 1: yes
Type of surgery 1: talc pleurodesis, 2: local resection, 3: other
Reoperation 0: no, 1: yes
Metallic implants 0: no, 1: yes
System adopted correction chest wall defects 1: abiomet, 2: synthes, 3: 3D medical, 4: other proprietary, country specific device
Number of bars 1: 1, 2: 2, 3: 3
Number of stabilizers 1: 1 per bar, 2: 2 per bar, 3: no stabilizers, 4: additional sutures
Titanium bars 0: no, 1: yes
Lactosorb 0: no, 1: yes
Carinatum stabilization 0: no, 1: yes
Time from first operation
Cause for removal 1: end of planned treatment, 2: allergy to metal, 3: repeated dislodgement, 4: chronic pain
Chest wall resection with or without repair 1: primary chest wall tumour, 2: secondary malignancy invading the chest wall
Site of resection/chest wall resection repair 1: 1st to 3rd rib, 2: 4th to 9th rib
Location resection 1: anterior location, 2: posterior location
Covered by scapula 0: no, 1: yes
Extended resection 0: no, 1: yes
Reconstruction performed 0: no, 1: yes
Device bars 1: stratos, 2: synthes, 3: other
Margins 1: positive margins, 2: less than 1 cm, 3: 1 to 3 cm, 4: >4 cm
Operative technique nuss 0: no, 1: yes
Operative technique park 0: no, 1: yes
Operative technique pillegard 0: no, 1: yes
Operative technique other 0: no, 1: yes
Comments operative technique
Stabilizer used
Comments stabilizer
Crane technique 0: no, 1: yes
Vacuum bell 0: no, 1: yes
Other sternal elevation 0: no, 1: yes
Comments sternal elevation
Epidural 0: no, 1: yes
Local anesthetic 0: no, 1: yes
Pericostal block 0: no, 1: yes
Comments adjuvant to anesthesia
Correction method
Type surgery carinatum
Pectus brace
Associate physio therapy manoeuvres 0: no, 1: yes
Reabsorbable pericardium 0: no, 1: yes
Patch 0: no, 1: yes
Titanium bars excision repair chest wall 0: no, 1: yes
Number of ribs resected
Pleurectomy pleurodesis* 0: pleurectomy, 1: chemical pleurodesis, 2: mechanical pleurodesis
Prev chest wall incqualifier* 0: debridement, 1: procedure for sinus, 2: removal of wires, 3: reopening, 4: repair with flap, 5: resuture
Reason no surgery*
Type of reconstruction* 1: mesh, 2: pericardial patch, 3: absorbable pericardial patch, 4: metylmethacrylate sandwich, 5: titanium bars, 6: titanium plus pericardium, 7: custom made patient-matched titanium implants

*, denotes fields multichoice.