Gkikas, Andreas; Lampridis, Savvas; Patrini, Davide; Kestenholz, Peter B; Azenha, Luis Filipe; Kocher, Gregor; Scarci, Marco; Minervini, Fabrizio (2022). Thoracic Outlet Syndrome: Single Center Experience on Robotic Assisted First Rib Resection and Literature Review. Frontiers in Surgery, 9, p. 848972. Frontiers 10.3389/fsurg.2022.848972
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Background
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.
Methods
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.
Results
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.
Conclusions
Robotic assisted first rib resection could represent a safe and feasible option in expert hands for the treatment of thoracic outlet syndrome.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Thoraxchirurgie 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery 04 Faculty of Medicine > Faculty Institutions > Teaching Staff, Faculty of Medicine |
UniBE Contributor: |
Kocher, Gregor |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2296-875X |
Publisher: |
Frontiers |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
31 Mar 2022 09:25 |
Last Modified: |
27 Apr 2023 16:12 |
Publisher DOI: |
10.3389/fsurg.2022.848972 |
PubMed ID: |
35350142 |
Uncontrolled Keywords: |
first rib resection robotic assisted resection robotic thoracic surgery (RATS) thoracic outlet thoracic outlet syndrome |
BORIS DOI: |
10.48350/168629 |
URI: |
https://boris.unibe.ch/id/eprint/168629 |
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