Our technique of thoracoscopic first rib resection – case report
Authors:
M. Mitták; L. Tulinský; L. Martínek
Authors‘ workplace:
Katedra chirurgických oborů Lékařské fakulty Ostravské univerzity, Ostrava
; Chirurgická klinika Fakultní nemocnice Ostrava
Published in:
Rozhl. Chir., 2022, roč. 101, č. 4, s. 176-179.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2022.101.4.176–179
Overview
Introduction: First rib resection is a standard surgical treatment for decompressing the neurovascular structures in thoracic outlet syndrome (TOS). Historically, open approaches were used. In this report, we present technical details of thoracoscopic first rib resection.
Case report: This year, we performed two operations in a row using this mini-invasive technique. Three ports were introduced. The used equipment included a laparoscopic camera (30 degree), endoscopic grasper, harmonic scalpel, long neurosurgical bone punch and a long intervertebral disc rongeur. The first rib was cut, separated and removed under thoracoscopic control.
Conclusion: Thoracoscopic first rib resection for TOS is a safe and promising technique.
Keywords:
case report – first rib resection – thoracoscopic surgery – thoracic outlet syndrome
Sources
1. Jones MR, Prabhakar A, Viswanath O, et al. Thoracic outlet syndrome: a comprehensive review of pathophysiology, diagnosis and treatment. Pain Ther. 2019;8:5−18. doi:10.1007/s40122-019-0124-2.
2. Li N, Dierks G, Vervaeke HE, et al. Thoracic outlet syndrome: a narrative review. J Clin Med. 2021;10:962. doi:10.3390/ jcm10050962.
3. Atkins HJ. Sympathectomy by the axillary approach. Lancet 1954;266: 538−539. doi:10.1016/s0140-6736(54) 91306-9.
4. Ohtsuka T, Wolf RK, Dunsker SB. Port-access first-rib resection. Surg Endosc. 1999;13:940−942. doi:10.1007/ s004649901141.
5. Strother E, Margolis M. Robotic first rib resection. Oper Tech Thorac Cardiovas Surg. 2015;20:176−188. doi:10.1053/j. optechstcvs.2015.11.002.
6. Hawks C, Herrera-Nicol S, Pruzansky ME, et al. Minimally invasive resection of symptomatic cervical rib for treatment of thoracic outlet syndrome. World Neurosurg. 2020;139:219–22. doi: 10.1016/j. wneu.2020.03.049.
7. Hwang J, Min BJ, Jo WM, et al. Video- assisted thoracoscopic surgery for intrathoracic first rib resection in thoracic outlet syndrome. J Thorac Dis. 2017;9(7):2022−2028. doi:10.21037/ jtd.2017.06.122.
8. George RS, Milton R, Chaudhuri N, et al. Totally endoscopic (VATS) first rib resection for thoracic outlet syndrome. Ann Thorac Surg. 2017;03:241−245. doi: 10.1155/2017/9350735.
9. Mingoli A, Feldhaus RJ, Farina C, et al. Long-term outcome after transaxillary approach for thoracic outlet syndrome. Surgery 1995;118:840−844. doi: 10.1016/ S0039-6060(05)80274-0.
10. Mitsos S, Patrini D, Velo S, et al. Arterial thoracic outlet syndrome treated succesfully with totally endoscopic first rib resection. Case Rep Pulmonol. 2017;ID9350735. doi: 10.1155/2017/9350735.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2022 Issue 4
Most read in this issue
- Our technique of thoracoscopic first rib resection – case report
- Achalasia – position of surgery in current management
- Potential use of mesenchymal stem cells in the treatment of inflammatory bowel disease – a systematic review of the literature
- 30 let miniinvazivní chirurgie v České republice