Transthoracic Robotic First and Cervical Rib Resection for Thoracic Outlet Syndrome.
Journal
Annals of surgery
ISSN: 1528-1140
Titre abrégé: Ann Surg
Pays: United States
ID NLM: 0372354
Informations de publication
Date de publication:
01 Jun 2023
01 Jun 2023
Historique:
medline:
29
11
2023
pubmed:
2
10
2021
entrez:
1
10
2021
Statut:
ppublish
Résumé
Neurogenic thoracic outlet syndrome (TOS) is a musculoskeletal condition in which the brachial plexus is dynamically compressed within the scalene triangle, an anatomic space bordered by the anterior and middle scalene muscles and the first rib. In some cases, an offending cervical rib is present. Traditional surgical approaches to first rib resection and scalenectomy are limited by exposure, require retraction of neurovascular structures, and result in morbidity. We describe a novel transthoracic robotic approach to first/cervical rib resection that overcomes these limitations, and we review its early clinical outcomes. Robotic first rib resection (FRR) is crystallized into 12 distinct steps, each with detailed video commentary, and nuances specific to neurogenic and venous TOS cases are provided. Published data supports decreased surgical morbidity of robotic FRR compared with open cases. Robotic FRR offers advantages over traditional operative approaches including improved exposure and elimination of retraction of neurovascular structures, which result in improved safety.
Identifiants
pubmed: 34596078
doi: 10.1097/SLA.0000000000005232
pii: 00000658-900000000-93262
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1215-e1216Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest
Références
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Palivela N, Lee HS, Jang HJ, et al. Improvement of disability in neurogenic thoracic outlet syndrome by robotic first rib resection. Ann of Thorac Surg. 2022;114:919–925.
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