title: First rib resection using videothorascopy for the treatment of thoracic outlet syndrome.
abstract: OBJECTIVE
  Thoracic outlet syndrome is a condition caused by compression of the subclavian artery, subclavian vein and/or the brachial plexus. Scalene muscle section and first rib removal is the most effective treatment. The objective of this article is to demonstrate first rib resection using videothoracoscopy.
  
  
  METHODS
  We describe first rib removal by videothoracoscopy using three 12 mm entrance ports (although one is widened to 3 cm to introduce periosteotomy cutters and rib shears). We have performed this operation on three cases of thoracic outlet syndrome with very good results.
  
  
  CONCLUSIONS
  Removal of the first rib by videothoracoscopy is a viable and very aesthetic technique with a low morbidity. It is a very good option for the majority of patients affected by this syndrome, particularly in obese patients or those with Pager-Schroetter syndrome.
authors: Servicio de Cirugía General y Torácica, Hospital Universitario Virgen Macarena, Sevilla, Spain. jloscert@us.es
authors: Jesús
authors: J
authors: Loscertales
authors: Miguel
authors: M
authors: Congregado
authors: Rafael
authors: R
authors: Jiménez Merchán
mesh_terms: D000293:Adolescent; D000328:Adult; D002573:Cervical Rib Syndrome / Q000150:complications; D000075202:Contraindications; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery; D009765:Obesity / Q000150:complications; D012272:Ribs / Q000601:surgery*; D013901:Thoracic Outlet Syndrome / Q000150:complications / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D056824:Upper Extremity Deep Vein Thrombosis / Q000209:etiology