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Updated: Mar 6, 2026
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
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[Thoracic Outlet Syndrome].
Sven Seifert1, Pavel Sebesta1, Marian Klenske1
1Klinik für Thorax-, Gefäß- und endovaskuläre Chirurgie, Klinikum Chemnitz gGmbH, Deutschland.
Zentralblatt Fur Chirurgie
|March 18, 2017
Summary
Thoracic outlet syndrome (TOS) treatment, particularly surgery, offers significant improvement for most patients. Careful diagnosis and experienced surgical centers are key to successful outcomes for this complex condition.
Area of Science:
- Medical Diagnostics
- Surgical Procedures
- Vascular Surgery
Background:
- Thoracic outlet syndrome (TOS) lacks a clear definition and consistent presentation.
- It involves compression of nerves and vessels in the upper thoracic aperture.
- Diagnosis is challenging, especially for the atypical neurogenic TOS (disTOS) subset.
Purpose of the Study:
- To review the etiology, epidemiology, and diagnostics of TOS.
- To evaluate the outcomes of surgical treatment for TOS.
- To provide insights into successful management strategies for TOS.
Main Methods:
- Comprehensive literature review.
- Analysis of diagnostic challenges and classifications of TOS.
- Evaluation of surgical outcomes and complication rates.
Main Results:
- TOS is classified into vascular (vasTOS), neurogenic (nTOS), and mixed forms.
- Surgical decompression can lead to significant improvement in up to 92% of patients.
- Long-term benefits are observed in 50-80% of patients, with low complication rates at specialized centers.
Conclusions:
- Most patients with TOS benefit from surgical intervention.
- Stringent diagnostic workup and experienced surgical centers are critical for optimal results.
- Factors like symptom duration and socioeconomic status also influence outcomes.
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