Surgical Technique: Supraclavicular First Rib Resection

Brett L Broussard; Dean M Donahue

doi:10.1016/j.thorsurg.2020.08.010

Surgical Technique: Supraclavicular First Rib Resection

Thorac Surg Clin. 2021 Feb;31(1):71-79. doi: 10.1016/j.thorsurg.2020.08.010.

Authors

Brett L Broussard¹, Dean M Donahue²

Affiliations

¹ Department of Surgical Oncology, Section of Thoracic Surgery, Banner M.D. Anderson Cancer Center, Gilbert, AZ, USA; Banner M.D. Anderson Cancer Center, 13188 North 103rd Drive, Suite 300, Sun City, AZ 85351, USA.
² Division of Thoracic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders 7, Boston, MA 02114, USA. Electronic address: ddonahue@mgh.harvard.edu.

PMID: 33220773
DOI: 10.1016/j.thorsurg.2020.08.010

Abstract

Thoracic outlet syndrome is a condition of compression involving the brachial plexus and subclavian vessels. Although there are multiple surgical approaches to address thoracic outlet decompression, supraclavicular first rib resection with scalenectomy and brachial plexus neurolysis allow for complete exposure of the first rib, brachial plexus, and vasculature. This technique is described in detail. This approach is safe and can produce excellent outcomes in all variants of thoracic outlet syndrome.

Keywords: Neurogenic thoracic outlet syndrome; Scalenectomy; Supraclavicular first rib resection; Thoracic outlet syndrome.

Publication types

Review

MeSH terms

Adult
Brachial Plexus / surgery
Decompression, Surgical / methods
Female
Humans
Male
Reoperation
Ribs* / surgery
Thoracic Outlet Syndrome* / surgery
Thoracic Surgical Procedures
Treatment Outcome