Thoracic Outlet Syndrome: Single Center Experience on Robotic Assisted First Rib Resection and Literature Review

Thoracic outlet syndrome (TOS) is a pathological condition caused by a narrowing between the clavicle and first rib leading to a compression of the neurovascular bundle to the upper extremity. The incidence of TOS is probably nowadays underestimated because the diagnosis could be very challenging wi...

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Published inFrontiers in surgery Vol. 9; p. 848972
Main Authors Gkikas, Andreas, Lampridis, Savvas, Patrini, Davide, Kestenholz, Peter B, Azenha, Luis Filipe, Kocher, Gregor Jan, Scarci, Marco, Minervini, Fabrizio
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 08.03.2022
Subjects
first rib resection
robotic assisted resection
robotic thoracic surgery (RATS)
Surgery
thoracic outlet
thoracic outlet syndrome
robotic assisted resection
first rib resection
thoracic outlet
robotic thoracic surgery (RATS)
thoracic outlet syndrome
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Summary:Thoracic outlet syndrome (TOS) is a pathological condition caused by a narrowing between the clavicle and first rib leading to a compression of the neurovascular bundle to the upper extremity. The incidence of TOS is probably nowadays underestimated because the diagnosis could be very challenging without a thorough clinical examination along with appropriate clinical testing. Beside traditional supra-, infraclavicular or transaxillary approaches, the robotic assisted first rib resection has been gaining importance in the last few years. We conducted a retrospective cohort analysis of all patients who underwent robotic assisted first rib resection due to TOS at Lucerne Cantonal Hospital and then we performed a narrative review of the English literature using PubMed, Cochrane Database of Systematic Reviews and Scopus. Between June 2020 and November 2021, eleven robotic assisted first rib resections were performed due to TOS at Lucerne Cantonal Hospital. Median length of stay was 2 days (Standard Deviation: +/- 0.67 days). Median surgery time was 180 min (Standard Deviation: +/- 36.5). No intra-operative complications were reported. Robotic assisted first rib resection could represent a safe and feasible option in expert hands for the treatment of thoracic outlet syndrome.
Bibliography:ObjectType-Article-2
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Edited by: Alessandro Gonfiotti, University of Florence, Italy
Reviewed by: Francesco Zaraca, Ospedale di Bolzano, Italy; Duilio Divisi, University of L'Aquila, Italy; Andrea Droghetti, Azienda Socio Sanitaria Territoriale di Mantova, Italy
This article was submitted to Thoracic Surgery, a section of the journal Frontiers in Surgery
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2022.848972