First rib resection using videothorascopy for the treatment of thoracic outlet syndrome.
Arch Bronconeumol
; 47(4): 204-7, 2011 Apr.
Article
em En
| MEDLINE
| ID: mdl-21440976
ABSTRACT
OBJECTIVE:
Thoracic outlet syndrome 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 demonstrate first rib resection using videothoracoscopy. TECHNIQUE 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.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Costelas
/
Síndrome do Desfiladeiro Torácico
/
Descompressão Cirúrgica
/
Cirurgia Torácica Vídeoassistida
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article