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Related Experiment Video

Updated: Nov 29, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

3.6K

Surgical Technique: Supraclavicular First Rib Resection.

Brett L Broussard1, Dean M Donahue2

  • 1Department of Surgical Oncology, Section of Thoracic Surgery, Banner M.D. Anderson Cancer Center, Gilbert, AZ, USA; Banner M.D. Anderson Cancer Center, 13188 North 103rd Drive, Suite 300, Sun City, AZ 85351, USA.

Thoracic Surgery Clinics
|November 22, 2020
PubMed
Summary
This summary is machine-generated.

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Thoracic outlet syndrome involves compression of the brachial plexus and subclavian vessels. Supraclavicular first rib resection with scalenectomy and brachial plexus neurolysis offers a safe and effective surgical solution for all thoracic outlet syndrome variants.

Area of Science:

  • Vascular Surgery
  • Neurosurgery
  • Thoracic Surgery

Background:

  • Thoracic outlet syndrome (TOS) is a neurovascular compression disorder.
  • Compression affects the brachial plexus and subclavian vessels.
  • Various surgical techniques exist for TOS decompression.

Purpose of the Study:

  • To detail a specific surgical approach for thoracic outlet decompression.
  • To evaluate the safety and efficacy of this technique.

Main Methods:

  • Supraclavicular first rib resection.
  • Scalenectomy.
  • Brachial plexus neurolysis.

Main Results:

  • This technique provides complete exposure of the first rib, brachial plexus, and vasculature.
Keywords:
Neurogenic thoracic outlet syndromeScalenectomySupraclavicular first rib resectionThoracic outlet syndrome

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  • The approach is demonstrated to be safe.
  • Excellent outcomes are achievable across all TOS variants.

    • Conclusions:

    • Supraclavicular first rib resection with scalenectomy and brachial plexus neurolysis is a viable surgical option for TOS.
    • This method ensures comprehensive decompression and offers excellent patient outcomes.