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Updated: Dec 27, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

Transthoracic Robotic First Rib Resection: Technique Crystallized.

Bryan M Burt¹, Nihanth Palivela¹, Michael B Goodman²

¹Baylor College of Medicine, Michael E. DeBakey Department of Surgery, Division of General Thoracic Surgery, Houston, Texas.

The Annals of Thoracic Surgery

|February 28, 2020

Summary

Robotic first rib resection offers superior thoracic outlet exposure and avoids neurovascular retraction. This technique is detailed for treating neurogenic thoracic outlet syndrome.

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Area of Science:

Thoracic Surgery
Minimally Invasive Procedures
Robotic Surgery

Background:

Neurogenic thoracic outlet syndrome (nTOS) often requires surgical intervention.
Traditional rib resection methods can involve significant neurovascular retraction.
Robotic assistance offers potential advantages in complex thoracic procedures.

Observation:

This study details the technique of transthoracic robotic first rib resection.
The procedure was performed in a patient diagnosed with neurogenic thoracic outlet syndrome.
Key benefits include enhanced visualization of the thoracic outlet anatomy.

Findings:

Robotic transthoracic first rib resection provides uncontested exposure of the thoracic outlet.
The technique minimizes the need for neurovascular retraction, preserving critical structures.

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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

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Last Updated: Dec 27, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

This approach facilitates precise anatomical dissection and resection.

Implications:

Robotic surgery may represent a safer and more effective approach for treating nTOS.
Enhanced visualization and reduced retraction can lead to improved patient outcomes.
This technique could become a valuable tool in the armamentarium for thoracic surgeons.