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Updated: Dec 18, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
First rib resection by VATS for thoracic outlet syndrome
Amaya Ojanguren1, Thorsten Krueger2, Michel Gonzalez3
1Service of Thoracic Surgery University Hospital of Lausanne, Lausanne, Switzerland.
Abstract:
The goal of surgical treatment of thoracic outlet syndrome is to decompress the thoracic outlet. There is no consensus regarding the surgical approach. Thoracic outlet decompression can be performed by direct open transaxillary, supraclavicular, and infraclavicular procedures, and the decision regarding which to choose can be a difficult one. Recently, the thoracoscopic approach has become an alternative to the classic open approach. This video tutorial demonstrates first rib resection by VATS for thoracic outlet syndrome and explains the technical aspects of the procedure.

