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>Journals >Cirugía y Cirujanos >Year 2010, Issue 1


Candia-de la Rosa RF, Pérez-Rodríguez A, Candia-García R, Palacios-Solís JM
Resección transaxilar de la primera costilla con apoyo endoscópico en el síndrome de salida de tórax. Una opción quirúrgica segura
Cir Cir 2010; 78 (1)

Language: Español
References: 23
Page: 53-59
PDF: 293.74 Kb.


Full text




ABSTRACT

Background: Endoscopic assisted transaxillary first rib resection is a novel approach in the management of thoracic outlet syndrome (TOS) and allows us to safely identify the neurovascular package and different structures. Our main objective is to assess the results of morbidity and mortality of the surgical treatment in TOS with this technique.
Methods: We carried out a prospective, longitudinal study with 22 surgical interventions of transaxillary first rib resection with endoscopic support in patients with TOS from January 2000 to January 2009 in a private hospital located in Puebla, Mexico. There were 16 females and six males with a mean age of 35 years. We found 16/22 (72.7%) patients with neurological symptoms and 6/22 (27.3%) with venous symptoms; 2/22 (9.09%) patients had effort thrombosis of the axillarysubclavian vein.
Results: Of the 22 interventions, we found fibrous bands in 8/22 patients (36.3%); 1/22 (4.5%) with type 1 cervical band and cervical rib grade II, 1/22 (4.5%) with type 2 cervical band and cervical rib grade I, 2/22 (9.09%) with band type 3, 1/22 (4.5%) with band type IV, 1/22 (4.5%) with band type V and 2/22 (9.09%) with band type VII and axillary-subclavian thrombosis. After the procedure, 20/22 (90.9%) patients showed total symptom improvement and 2/22 (9.1%) patients had mild paresthesias. There were no complications from nerve, vascular or pleural damage.
Conclusions: This technique provides an ample margin of safety and improves visibility, reducing surgical complications.


Key words: Transaxillary resection of the first rib, thoracic outlet syndrome.


REFERENCIAS

  1. Thompson RW, Bartoli MA. Síndrome del estrecho torácico neurológico. En: Rutherford RB, ed. Cirugía Vascular. Sexta edición. España: Elsevier; 2006.

  2. Ross DB. Transaxillary approach for first-rib resection to relieve thoracic outlet syndrome. Ann Surg 1966;163:354-358.

  3. Álvarez HE, Ocampo AR. Síndrome de salida torácica. Reporte de un caso y revisión de la literatura. Rev Med Hosp Gen Mex 2002;65:226-229.

  4. Urschel HC Jr, Razzuk MA. Upper plexus thoracic outlet syndrome: optional therapy. Ann Thorac Surg 1997;63:935-939.

  5. Urschel HC Jr, Razzuk MA. Neurovascular compression in the thoracic outlet. Changing management over 50 years. Ann Surg 1998;228:609-617.

  6. Abdellaoui A, Atwan M, Reid F, Wilson P. Endoscopic assisted transaxillary first rib resection. Interact CardioVasc Thorac Surg 2007;6:644-646.

  7. Paraskevas G, Ioannidis O, Papaziogas B, Natsis K, Spanidou S, Kitsoulis P. An accessory middle scalene muscle causing thoracic outlet syndrome. Case report. Folia Morohol 2007;66:194-197.

  8. Ross DA. Congenital anomalies associated with thoracic outlet syndrome. Anatomy, symptoms, diagnosis and treatment. Am J Surg 1976;132:771-778.

  9. Martínez BD. Thoracic outlet syndrome, intraoperative endoscopic video recording evaluation. American College of Surgeons Library. October 1985, Catalog ACS- 1397.

  10. Dale WA. Thoracic outlet syndrome: critique in 1982. Arch Surg 1982;117:1437-1444.

  11. Martínez BD, Wiegam CS, Evans P, Lee S, Gerhanrdinegr A. Enhanced patient safety with computer-assisted instrumentation during endoscopic transaxillary first rib resection for thoracic outlet syndrome. Surg Laparosc Endosc Percutan Techn 2005;1:48.

  12. Martínez BD. Thoracic outlet syndrome: endoscopic transaxillary first rib resection and thoracodorsal sympathectomy for causalgia. In: White RA, Fogarty TJ, eds. Peripheral Endovascular Interventions. American College of Surgeons Library, Catalog ACS;2008:8.

  13. Martínez BD, Wiegand C, Evans P, Gerhardinger A, Méndez J. Computer-assisted instrumentation during endoscopic transaxillary first rib resection for thoracic outlet syndrome: a safe alternate approach. Vascular 2005;13:327-335.

  14. Martínez BD. Adjunctive endoscopic video technique during transaxillary first rib resection for thoracic outlet syndrome: 10 years of experience. (DVD) Audiovisual ACS Video Collections; 2008:1996.

  15. Candia RF, Gutiérrez ML, Candia R, Cerezo G, Castrejón M. Tratamiento fibrinolítico en el síndrome de Paget-Schroetter. Rev Sanid Milit Mex 1995;49:131-134.

  16. Rojas GA, Cervantes J, Álvarez AC, Enríquez E, Arcos L, Hernández A. Una nueva alternativa terapéutica en el manejo del síndrome de Paget-Schroetter. Arch Cir Vasc 1993;2:10-17.

  17. Rojas GA, Cervantes J, Vargas L, Enríquez E, Pardo F, Rodríguez F. Trombosis venosa de esfuerzo (síndrome de Paget-Schroetter): trombólisis y resección de la primera costilla. Cir Ciruj 1992;59:98-103.

  18. Rojas GA, Cervantes J, Gerson R, Flores C, Villalobos A. Trombosis venosa profunda del miembro superior. Rev Mex Angiol 2000;28:39-46.

  19. Candia RF, Parra OA, Segura FH, Álvarez AC, Castañeda GR, Díaz AR. Síndrome de Paget-Schroetter, informe de un caso. Rev Sanid Milt Mex 1992;46:19-21.

  20. Bizueto HR, Hernández PF, Velasco OC, Cruz CE. Síndrome de salida de tórax. Tratamiento quirúrgico y sus complicaciones. Cir Ciruj 1996;64:167-170.

  21. Leffert RD. Complication of surgery for thoracic outlet syndrome. Hand Clin 2004;20:91-98.

  22. Candia RF, Ramírez VS, Medrano FR, Córdova I, Shuck CE. Resección transaxilar de la primera costilla en el síndrome de salida de tórax. Rev Sanid Milit Mex 1999;53:303-307.

  23. Peña F, Candia RF, Álvarez CA, Castañeda R, Díaz R, Segura H, et al. Resección transaxilar de la primera costilla en el síndrome de salida de tórax. Rev Sanid Milit Mex 1993;49:30-32.






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