Hempel G K, Rusher A H, Wheeler C G, Hunt D G, Bukhari H I
Am J Surg. 1981 Feb;141(2):213-5. doi: 10.1016/0002-9610(81)90159-8.
The experience with supraclavicular transcervical first rib resection (or cervical rib resection) and total scalenotomy reported herein shows this to be a safe and effective treatment for patients with the thoracic outlet syndrome. We recommend this method as a satisfactory anatomic approach for the correction of this condition. Its advantages are as follows: anatomic structures may be visualized fully by both the surgeon and the assistant; complex or recurrent thoracic outlet problems may be dealt with directly; additional procedures (such as vascular graft, neurolysis, neck exploration, sympathectomy and cervical rib resection) may be performed; the procedure can be done in 90 minutes or less; neither the patient nor the assistant is obliged to assume an awkward or strained position and consequently the likelihood of intraoperative iatrogenic injury is reduced; and neither the period of hospitalization nor the period of immobility is longer than with the other operative techniques currently used for this condition.
本文报道的锁骨上经颈第一肋切除术（或颈肋切除术）及全斜角肌切断术的经验表明，这是治疗胸廓出口综合征患者的一种安全有效的方法。我们推荐这种方法作为矫正该病症的一种令人满意的解剖学入路。其优点如下：术者和助手都能充分看清解剖结构；复杂或复发性胸廓出口问题可直接处理；可进行其他手术（如血管移植、神经松解、颈部探查、交感神经切除术和颈肋切除术）；该手术可在90分钟或更短时间内完成；患者和助手都无需处于尴尬或紧张的体位，因此术中医源性损伤的可能性降低；住院时间和制动时间均不超过目前用于该病症的其他手术技术。
