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Transthoracic Robotic First Rib Resection for Neurogenic Thoracic Outlet Syndrome
Bryan M Burt
Baylor College of Medicine, Houston, TX

OBJECTIVES: The objective of this video is to demonstrate the advantages of a transthoracic robotic first rib resection for a patient with neurogenic thoracic outlet syndrome (TOS).
METHODS: A 28 year old woman with neurogenic TOS did not meaningfully improve with conservative therapy and first rib resection with brachial plexus neurolysis was advised and accepted.
RESULTS: The patient underwent a right first rib resection and brachial plexus neurolysis via a minimally invasive (robotic) transthoracic approach. She was discharged the following day and has had complete resolution of her symptoms. A video of the procedure is shown.
CONCLUSIONS: A robotic transthoracic approach to first rib resection provides unparalleled exposure of the first rib and is hypothesized to reduce morbidity of first rib resection.


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