Our technique of thoracoscopic first rib resection –⁠ case report

Czech version

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

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Article was published in

Perspectives in Surgery

2022 Issue 4