Jornal Vascular Brasileiro
Print version ISSN 1677-5449
GHEFTER, Mario Claudio et al. Thoracic outlet syndrome - cervical rib resection through videothoracoscopic surgery. J. vasc. bras. [online]. 2012, vol.11, n.3, pp. 219-225. ISSN 1677-5449. http://dx.doi.org/10.1590/S1677-54492012000300009.
The basis of Thoracic Outlet Syndrome (TOS) surgical treatment is the first rib resection and may be associated with scalenectomy or cervical rib resection. The latter is traditionally done through a supraclavicular or axillary access, which is the most technically challenging. It can also be achieved through parascapular access. Although technically attractive and associated with less invasiveness and increased security, with excellent aesthetic results, the first thoracic rib resection via video-assisted transaxillary surgery or videothoracoscopic technique is seldom reported in the literature, and no reference was found on cervical rib resection through this technique. In this article, we introduced this innovation successfully performed for surgical cervical rib resection in two patients.
Keywords : video-assisted surgery; cervical rib; Thoracic Outlet Syndrome; Nerve Compression Syndromes.