- 作者：Jesú ; s Loscertales ; jloscert@us.es ; Miguel Congregado ; Rafael Jimé ; nez Merchá ; n
- 关键词：Sí ; ndrome del estrecho torá ; cico ; Videotoracoscopia ; Exé ; resis de primera costilla ; Sí ; ndrome Paget-Schroetter ; Cirugí ; a
- 刊名：Archivos de Bronconeumolog铆a
- 出版年：2011
- 期刊代码：pca65_03002896
- 类别：med
- 出版时间：April 2011
- 卷：47
- 期：4
- 页码：204-207
- 文件大小：341 K
Objective
Thoracic outlet syndrom is a condition caused by compression of the subclavian artery, subclavian vein and/or the brachial plexus. Scalene muscle section and first rib removal is the most effective treatment. The objective of this article is to demonsrate first rib resection using videothoracoscopy.
Material and method
We describe first rib removal by videothoracoscopy using three 12 mm entrance ports (although one is widened to 3 cm to introduce periosteotomy cutters and rib shears). We have performed this operation on three cases of thoracic outlet syndrome with very good results.
Conclusions
Removal of the first rib by videothoracoscopy is a viable and very aesthetic technique with a low morbidity. It is a very good option for the majority of patients affected by this syndrome, particularly in obese patients or those with Pager-Schroetter syndrome.