Computer-Assisted Instrumentation during Endoscopic Transaxillary First Rib Resection for Thoracic Outlet Syndrome: A Safe Alternate Approach

Martinez, Bernardo D.; Wiegand, Catherine S.; Evans, Patricia; Gerhardinger, A.M.; Sánchez-Méndez, José Ignacio

doi:10.1258/rsmvasc.13.6.327

Cited by 43 publications

(43 citation statements)

References 11 publications

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“…Palsy may occur with shoulder dislocation and/or traction injuries. It can also occur with TOS, which encompasses three separate disorders involving compression of the subclavian artery, subclavian vein, or brachial plexus in the triangular space bordered by the first rib, clavicle, and scalene muscles [9, 10]. Compression of the vessel-nerve package at the thoracic inlet has been treated with soft-tissue (scalene muscle) release and/or bone (first rib) resection [9].…”

Section: Discussionmentioning

confidence: 99%

Novel Axillary Approach for Brachial Plexus in Robotic Surgery: A Cadaveric Experiment

Tetik

Uzun

2014

Minimally Invasive Surgery

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Brachial plexus surgery using the da Vinci surgical robot is a new procedure. Although the supraclavicular approach is a well known described and used procedure for robotic surgery, axillary approach was unknown for brachial plexus surgery. A cadaveric study was planned to evaluate the robotic axillary approach for brachial plexus surgery. Our results showed that robotic surgery is a very useful method and should be used routinely for brachial plexus surgery and particularly for thoracic outlet syndrome. However, we emphasize that new instruments should be designed and further studies are needed to evaluate in vivo results.

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Section: Discussionmentioning

confidence: 99%

Novel Axillary Approach for Brachial Plexus in Robotic Surgery: A Cadaveric Experiment

Tetik

Uzun

2014

Minimally Invasive Surgery

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“…Endoscopic computerized instrumentation in transaxillary first rib resection (FRR) decreases the risk of neurovascular or pleural damage, promotes complete decompression, and consequently provides a safe alternative to standard method of FRR [70,71].…”

Section: Diagnostic Aids and Surgical Approaches For Tosmentioning

confidence: 99%

Cervical Rib and Thoracic Outlet Syndrome

Haroun¹

2016

MOJAP

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The cervical rib is an extra rib that develops as a result of elongation of the costal element of the transverse mass of the C7 vertebra. Its incidence ranges from less than 0.5 to 2.5 %, with some gender and laterality predilections, in different populations. It is rarely symptomatic. When large, it can cause various vascular and neurological symptoms. Thoracic outlet syndrome (TOS) is a group of manifestations that result from compression of one or more of the neurovascular structures in the thoracic outlet. The causes of TOS include musculoskeletal variations or anomalies, fibrous bands, tumors and post-traumatic conditions. Clinically, three forms of the TOS are identified: arterial, venous and neurogenic. Surgical options for decompression of the TOS include the transaxillary, the supraclavicular and the posterior subscapular approaches.

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“…Não encontramos na literatura nenhum estudo prévio utilizando a VATS para a ressecção de costela cervical. Existem relatos de ressecções de primeira costela por meio dessa técnica tanto por via transtorácica 6,12 como por via transaxilar 7 . Há também relatos de facilidade técnica na dissecção do plexo braquial em cadáveres por meio da VATS 13 .…”

Section: Descrição Da Técnicaunclassified

“…Pode ser feita também por via paraescapular, embora esta seja mais utilizada em reoperações 4 . Embora tecnicamente atrativa e associada à menor invasividade e à segurança, apresentando ótimo resultado estético, a ressecção de primeira costela torácica por meio de cirurgia video-assistida transaxilar 6 ou de cirurgia torácica vídeo-assistida (VATS) 7 é pouco relatada na literatura, e nenhuma referência foi encontrada sobre ressecção de costela cervical anômala por esta última técnica (VATS).…”

Section: Introductionunclassified

Síndrome do desfiladeiro torácico - ressecção de costela cervical por videotoracoscopia

et al. 2012

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ResumoA base do tratamento cirúrgico da Síndrome do Desfiladeiro Torácico (SDT) é a ressecção da primeira costela, podendo associar-se à escalenectomia ou ainda à ressecção de costela cervical. Esta última é feita tradicionalmente por meio de um acesso supraclavicular ou mesmo axilar, o qual é tecnicamente mais trabalhoso. Pode ser realizada também por meio de acesso paraescapular. Embora tecnicamente atrativa e associada à menor invasividade e maior segurança, com ótimo resultado estético, a ressecção da primeira costela torácica, por intermédio de cirurgia videoassistida transaxilar ou pela técnica videotoracoscópica, é pouco relatada na literatura, e nenhuma referência foi encontrada sobre ressecção de costela cervical mediante essa técnica. Neste artigo, apresentamos essa inovação cirúrgica realizada com sucesso para ressecção de costela cervical em duas pacientes.Palavras-chaves: cirurgia vídeo-assistida; costela cervical; Síndrome do Desfiladeiro Torácico; Síndromes de Compressão Nervosa. AbstractThe 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. IntroduçãoA abertura superior do tórax é delimitada em sua base pela primeira costela, pela face anterolateral do corpo da primeira vértebra torácica (T1) e pela borda superior do manúbrio esternal. O desfiladeiro torácico inclui três espaços estreitos (por isso o nome desfiladeiro) que se estendem da abertura do tórax até a região axilar. A porção proximal desse desfiladeiro inclui o triângulo interescaleno, formado entre o escaleno anterior e médio, e o espaço costoclavicular, formado

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Computer-Assisted Instrumentation during Endoscopic Transaxillary First Rib Resection for Thoracic Outlet Syndrome: A Safe Alternate Approach

Cited by 43 publications

References 11 publications

Novel Axillary Approach for Brachial Plexus in Robotic Surgery: A Cadaveric Experiment

Novel Axillary Approach for Brachial Plexus in Robotic Surgery: A Cadaveric Experiment

Cervical Rib and Thoracic Outlet Syndrome

Síndrome do desfiladeiro torácico - ressecção de costela cervical por videotoracoscopia

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