Trans-axillary thoracic outlet decompression

IF 3.3 3区医学 Q1 PERIPHERAL VASCULAR DISEASE

Seminars in Vascular Surgery Pub Date : 2024-03-01 DOI:10.1053/j.semvascsurg.2024.02.006

Jens Goeteyn , Stijn B.J. Teijink , Niels Pesser , Marc R.H.M. van Sambeek , Bart F.L. van Nuenen , Joep A.W. Teijink

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引用次数: 0

Abstract

Thoracic outlet syndrome (TOS) is a group of conditions thought to be caused by the compression of neurovascular structures going to the upper extremity. TOS is a difficult disease to diagnose, and surgical treatment remains challenging. Many different surgical techniques for the treatment of TOS have been described in the literature and many reasonable to good outcomes have been reported, which makes it hard for surgeons to determine which techniques should be used. Our aim was to describe the rationale, techniques, and outcomes associated with the surgical treatment of TOS. Most patients in our center are treated primarily through a trans-axillary approach. We will elaborate on the technical details of performing trans-axillary thoracic outlet decompression. The essential steps during surgery are illustrated with videos. We focused on the idea behind performing a trans-axillary thoracic outlet decompression in primary cases. Institutional data on the outcomes of this surgical approach are described briefly.

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经腋窝胸廓出口减压术

胸廓出口综合征（TOS）是一组被认为由上肢神经血管结构受压引起的疾病。TOS 是一种难以诊断的疾病，手术治疗仍然具有挑战性。文献中描述了许多治疗 TOS 的不同手术方法，许多方法都取得了合理或良好的疗效，这使得外科医生很难确定应该使用哪种方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Vascular Surgery 医学-外科

CiteScore

3.50

自引率

4.00%

发文量

审稿时长

50 days

期刊介绍： Each issue of Seminars in Vascular Surgery examines the latest thinking on a particular clinical problem and features new diagnostic and operative techniques. The journal allows practitioners to expand their capabilities and to keep pace with the most rapidly evolving areas of surgery.