No intra-operative complications were reported.Ĭonclusions: Robotic assisted first rib resection could represent a safe and feasible option in expert hands for the treatment of thoracic outlet syndrome. Median surgery time was 180 min (Standard Deviation: +/– 36.5). Median length of stay was 2 days (Standard Deviation: +/– 0.67 days). Results: Between June 2020 and November 2021, eleven robotic assisted first rib resections were performed due to TOS at Lucerne Cantonal Hospital. 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. Beside traditional supra-, infraclavicular or transaxillary approaches, the robotic assisted first rib resection has been gaining importance in the last few years. 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. 6Department of Thoracic Surgery, Imperial College Healthcare NHS Trust, London, United Kingdomīackground: 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.5Division of Thoracic Surgery, Bern University Hospital, University of Bern, Bern, Switzerland. 4Department of Thoracic Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland.3Department of Thoracic Surgery, University College London Hospitals, London, United Kingdom.2Department of Thoracic Surgery, 424 General Military Hospital, Thessaloniki, Greece.1Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, United Kingdom.Kestenholz 4, Luis Filipe Azenha 4, Gregor Jan Kocher 5, Marco Scarci 6 and Fabrizio Minervini 4 * Andreas Gkikas 1, Savvas Lampridis 2, Davide Patrini 3, Peter B.
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