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Updated: Feb 20, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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Thoracoscopic Rib Resection in Children.

Dheidan Mufreh Alshammari1, Isabelle Talon1, Julien Rod2

  • 11 Department of Pediatric Surgery, Hôpitaux Universitaires de Strasbourg , Strasbourg, France .

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|October 27, 2017
PubMed
Summary
This summary is machine-generated.

Thoracoscopy is a minimally invasive surgical option for benign pediatric rib lesions, offering reduced complications compared to open surgery. This technique is particularly beneficial for conditions like hereditary multiple exostoses requiring repeat interventions.

Keywords:
pediatric surgeryrib resection thoracoscopicallythoracoscopy

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Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Surgical Oncology

Background:

  • Benign rib lesions in children are uncommon and can present with various symptoms or be incidentally discovered.
  • Traditional open surgery for these lesions can lead to significant functional consequences.

Purpose of the Study:

  • To evaluate the efficacy and safety of thoracoscopy for treating benign pediatric rib lesions.
  • To compare thoracoscopic outcomes with historical open surgery data.

Main Methods:

  • A multicenter retrospective review of 17 pediatric patients who underwent thoracoscopic rib resection between 2005 and 2015.
  • Inclusion criteria included benign rib tumors or anomalies (exostoses, endochondromas, synostosis, Cyriax's syndrome) in patients under 18 years old.
  • Exclusion criteria were open surgery and malignant tumors.

Main Results:

  • The series included 13 exostoses, 2 endochondromas, 1 synostosis, and 1 Cyriax's syndrome.
  • Symptomatic presentations included chest pain, dyspnea, and cough; six tumors were incidental findings.
  • No intraoperative or immediate postoperative complications were reported, though one patient experienced persistent pain due to nerve damage.

Conclusions:

  • Thoracoscopy is a viable and less invasive approach for pediatric benign rib lesions.
  • The technique minimizes functional impact compared to open procedures.
  • It is especially recommended for hereditary multiple exostoses where future surgeries may be necessary.