Furushima Kozo, Funakoshi Tadanao
Keiyu Orthopaedic Hospital, Tatebayashi, Japan.
Arthrosc Tech. 2021 Jan 20;10(1):e235-e240. doi: 10.1016/j.eats.2020.09.034. eCollection 2021 Jan.
Thoracic outlet syndrome (TOS) is a complex disorder with signs and symptoms resulting from compression of the brachial plexus and subclavian vessels. Although transaxillary first-rib resection is a well-established surgical treatment for patients with symptomatic TOS, this approach sometimes does not allow adequate exposure of the insertion point of the middle scalene muscle to the posterior part of the first rib and neurovascular bundle. The objective of this Technical Note is to describe an endoscopic-assisted transaxillary approach for first-rib resection and neurolysis. An endoscopic-assisted transaxillary approach for first-rib resection in TOS can provide excellent magnified visualization and safely allow sufficient decompression of the neurovascular bundle.
胸廓出口综合征（TOS）是一种复杂的病症，其体征和症状由臂丛神经和锁骨下血管受压引起。尽管经腋路第一肋切除术是治疗有症状的TOS患者的一种成熟的外科手术方法，但这种方法有时无法充分暴露中斜角肌在第一肋后部和神经血管束的附着点。本技术说明的目的是描述一种内镜辅助经腋路第一肋切除术和神经松解术。用于TOS患者第一肋切除术的内镜辅助经腋路方法可以提供出色的放大视野，并安全地充分减压神经血管束。
