Servicio de Cirugía General y Torácica, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Arch Bronconeumol. 2011 Apr;47(4):204-7. doi: 10.1016/j.arbres.2011.01.008. Epub 2011 Mar 26.
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.
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.
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.
胸廓出口综合征是一种由锁骨下动脉、锁骨下静脉和/或臂丛受压引起的疾病。斜角肌切断和第一肋骨切除是最有效的治疗方法。本文的目的是展示使用胸腔镜进行第一肋骨切除术。
我们描述了使用三个 12 毫米入口端口（尽管一个端口扩大到 3 厘米以引入骨膜切开器和肋骨剪）进行胸腔镜下第一肋骨切除术。我们已经在三例胸廓出口综合征患者中成功实施了该手术，效果非常好。
胸腔镜下切除第一肋骨是一种可行且非常美观的技术，发病率低。对于大多数患有这种综合征的患者，尤其是肥胖患者或患有Pager-Schroetter 综合征的患者，这是一种非常好的选择。
