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Updated: Jul 11, 2025

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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
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Robotic resection of a second rib osteochondroma
Manuel Rojo1, Zaid Abdelsattar2
1Department of Cardiovascular and Thoracic Surgery, Loyola University Medical Center, Chicago, IL, USA.
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|November 9, 2023
Summary
A patient experienced shoulder pain due to an osteochondroma on his second rib. Robotic surgery successfully removed the benign bone tumor, resolving his pain.
Area of Science:
- Orthopedic Surgery
- Surgical Oncology
Background:
- Osteochondromas are benign bone tumors that can cause pain and discomfort.
- Surgical intervention is often necessary for symptomatic osteochondromas.
Observation:
- A 43-year-old man presented with left shoulder pain attributed to an osseous mass on the second rib.
- Radiographic imaging suggested an osteochondroma with soft tissue extension.
- The patient reported localized tenderness corresponding to the mass.
Findings:
- Robotic excision of the osteochondroma was performed using a minimally invasive approach.
- The mass was successfully dissected from the second rib and removed.
- Postoperative pathology confirmed the diagnosis of a benign osteochondroma.
Implications:
- Robotic surgery offers a viable minimally invasive option for treating rib osteochondromas.
- Complete tumor excision led to complete resolution of the patient's pain.
- This case highlights the effectiveness of surgical management for symptomatic osteochondromas.

