A questionnaire study investigating the current development status of chest wall surgery in Sichuan Province_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Chengxin , WU Dongsheng , ZHOU Jian , KOU Yingli , CHEN Longqi ,  LIN Feng

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding?author：

LIN Feng, Email: linfeng0220@aliyun.com

Keywords：

Chest wall surgery; questionnaire; thoracic diseases; disciplinary development

DOI：

10.7507/1007-4848.202211100

Video：

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Objective To investigate the current development status of chest wall surgery at all levels of hospitals in Sichuan Province, as well as to provide evidence for the promotion of chest wall surgery. Methods We conducted a questionnaire study to investigate chest wall surgery at all levels of hospitals in Sichuan Province and to collect suggestions for chest wall surgery development from thoracic surgeons attending the meeting of the Sichuan International Medical Exchange & Promotion Association from September 2021 to January 2022. Results A total of 128 questionnaires were issued, with 97 (75.8%) of them being valid. According to the survey results, hospitals with grade A secondary or higher in Sichuan Province performed chest wall surgery. Chest wall surgery accounted for 14.3% of thoracic surgery, with 70.4% being chest wall trauma surgeries, 11.6% being chest wall tumor surgeries, 10.5% being chest wall infection surgeries, and 7.5% being chest wall deformity surgeries. Chest wall surgery accounted for 9.3% of thoracic surgery in the grade A tertiary hospitals, primarily for chest wall trauma and tumor; 23.1% in grade B tertiary hospitals, primarily for chest wall trauma and tumor; and 50.7% in grade A secondary hospitals, primarily for chest wall trauma and infection. Totally 96.9% of hospitals supported the establishment of a subspecialty in chest wall surgery. Suggestions for advancing chest wall surgery included: enhancing communication and cooperation (e.g. holding academic conferences, training courses), the establishment of the chest wall surgery association or consortium, and the formulation of regulations and guidelines or consensus, etc. Conclusion Chest wall surgery has been performed at all levels of hospitals in Sichuan Province. The relevant guidelines can be made based on the related academic associations, thus boosting the development of chest wall surgery in the future.

Citation： LIU Chengxin, WU Dongsheng, ZHOU Jian, KOU Yingli, CHEN Longqi, LIN Feng. A questionnaire study investigating the current development status of chest wall surgery in Sichuan Province. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(11): 1567-1570. doi: 10.7507/1007-4848.202211100 Copy

1.	Jiang R, Liao L. Wenlin Wang: A "weird doctor" in defiance of the Matthew effect. J Thorac Dis, 2019, 11(7): E90-E95.
2.	Liu C, Wen Y. Research progress in the effects of pectus excavatum on cardiac functions. World J Pediatr Surg, 2020, 3(2): e000142.
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7.	Nagasao T, Aizezi N, Tamai M, et al. Separation of the seventh costal-sternal junction—A new technique to improve outcomes for the Nuss procedure for pectus excavatum. J Plast Reconstr Aesthet Surg, 2023, 76: 4-9.
8.	Tam JKC, Leow L, Yong KJ, et al. Novel nuss bar fixation using zipfix for pectus excavatum. Heart Lung Circ, 2022, 31(6): 889-893.
9.	Uemura S, Yoshida A, Kuyama H. Analysis of chest wall elevation after the Nuss procedure using 3D body scanning technique in patients with pectus excavatum. Pediatr Surg Int, 2021, 37(6): 777-782.
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11.	盧天健, 陳楠, 廖虎, 等. 3D打印技術在胸壁疾病外科領域應用的研究進展. 中國胸心血管外科臨床雜志, 2018, 25(11): 1003-1006.
12.	鐘旋旖, 周茜. 高質量發展背景下優化醫療衛生資源配置的健康效應與財政政策研究—以長三角一體化發展為例. 經濟研究參考, 2022, (9): 120-136.
13.	Bemelman M, Poeze M, Blokhuis T J, et al. Historic overview of treatment techniques for rib fractures and flail chest. Eur J Trauma Emerg Surg, 2010, 36(5): 407-415.
14.	Redlinger RE, Rushing GD, MoskowitZ AD, et al. Minimally invasive repair of pectus excavatum in patients with Marfan syndrome and marfanoid features. J Pediatr Surg, 2010, 45(1): 193-199.
15.	Abid I, Ewais MM, Marranca J, et al. Pectus excavatum: A review of diagnosis and current treatment options. J Am Osteopath Assoc, 2017, 117(2): 106-113.

1. Jiang R, Liao L. Wenlin Wang: A "weird doctor" in defiance of the Matthew effect. J Thorac Dis, 2019, 11(7): E90-E95.
2. Liu C, Wen Y. Research progress in the effects of pectus excavatum on cardiac functions. World J Pediatr Surg, 2020, 3(2): e000142.
3. 李軍, 劉相燕. 胸壁外科疾病的治療進展. 中國胸心血管外科臨床雜志, 2022, 29(1): 121-126.
4. 郭瀟雅. 胸壁外科: 從理念革新到技術創新. 中國醫院院長, 2022, 18(8): 88-89.
5. 郭瀟雅. 全國首家胸壁外科在穗揭牌. 中國醫院院長, 2018, 14(13): 28-29.
6. 王黎黎, 劉學成, 孫莉, 等. 2021年四川省疾病預防控制機構人員能力現狀分析. 預防醫學情報雜志, 2022, 38(12): 1610-1616.
7. Nagasao T, Aizezi N, Tamai M, et al. Separation of the seventh costal-sternal junction—A new technique to improve outcomes for the Nuss procedure for pectus excavatum. J Plast Reconstr Aesthet Surg, 2023, 76: 4-9.
8. Tam JKC, Leow L, Yong KJ, et al. Novel nuss bar fixation using zipfix for pectus excavatum. Heart Lung Circ, 2022, 31(6): 889-893.
9. Uemura S, Yoshida A, Kuyama H. Analysis of chest wall elevation after the Nuss procedure using 3D body scanning technique in patients with pectus excavatum. Pediatr Surg Int, 2021, 37(6): 777-782.
10. Bellia-Munzon G, Martinez J, Toselli L, et al. From bench to bedside: 3D reconstruction and printing as a valuable tool for the chest wall surgeon. J Pediatr Surg, 2020, 55(12): 2703-2709.
11. 盧天健, 陳楠, 廖虎, 等. 3D打印技術在胸壁疾病外科領域應用的研究進展. 中國胸心血管外科臨床雜志, 2018, 25(11): 1003-1006.
12. 鐘旋旖, 周茜. 高質量發展背景下優化醫療衛生資源配置的健康效應與財政政策研究—以長三角一體化發展為例. 經濟研究參考, 2022, (9): 120-136.
13. Bemelman M, Poeze M, Blokhuis T J, et al. Historic overview of treatment techniques for rib fractures and flail chest. Eur J Trauma Emerg Surg, 2010, 36(5): 407-415.
14. Redlinger RE, Rushing GD, MoskowitZ AD, et al. Minimally invasive repair of pectus excavatum in patients with Marfan syndrome and marfanoid features. J Pediatr Surg, 2010, 45(1): 193-199.
15. Abid I, Ewais MM, Marranca J, et al. Pectus excavatum: A review of diagnosis and current treatment options. J Am Osteopath Assoc, 2017, 117(2): 106-113.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

A questionnaire study investigating the current development status of chest wall surgery in Sichuan Province

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