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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: Minimally Invasive First-Rib Resection.

Christina L Costantino1, Lana Y Schumacher1

  • 1Department of Thoracic Surgery, Massachusetts General Hospital, Founders House, 265 Charles Street, FND-7, Boston, MA 02114, USA.

Thoracic Surgery Clinics
|November 22, 2020
PubMed
Summary

Minimally invasive surgery for thoracic outlet syndrome (TOS) is growing. Robotic techniques offer potential benefits, but more long-term data are needed to compare them to open surgery.

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Area of Science:

  • Minimally invasive surgical techniques
  • Thoracic outlet syndrome (TOS) treatment
  • Robotic-assisted surgery

Background:

  • Thoracic outlet syndrome (TOS) is a condition caused by compression of nerves, blood vessels, or both in the thoracic outlet.
  • Traditional open surgical approaches have been the standard treatment for TOS.
  • Increasing adoption of minimally invasive techniques in various surgical fields.

Purpose of the Study:

  • To discuss the increasing prevalence and technical advantages of minimally invasive surgical approaches for TOS.
  • To highlight the potential benefits of robotic surgery in TOS treatment.
  • To emphasize the need for long-term outcome data to compare minimally invasive TOS surgery with open surgery.

Main Methods:

  • Review of current trends in minimally invasive surgery for TOS.
Keywords:
First-rib resectionMinimally invasive surgeryRobotic surgeryThoracic outlet syndrome

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Last Updated: Nov 29, 2025

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  • Discussion of the technical aspects and potential advantages of thoracoscopic and robotic techniques.
  • Identification of the need for comparative outcome studies.

    • Main Results:

    • Minimally invasive surgical approaches, including thoracoscopic and robotic techniques, are becoming more common for TOS treatment.
    • Robotic surgery may offer enhanced visualization and instrument maneuverability.
    • Longer-term outcome data are currently lacking.

    Conclusions:

    • Minimally invasive TOS surgery is expected to increase with growing surgeon experience.
    • Robotic surgery presents potential technical advantages for TOS treatment.
    • Further research is required to establish the long-term efficacy and superiority of minimally invasive TOS surgery compared to open procedures.