Síndrome de salida torácica: comparación entre abordajes para tratamiento quirúrgico. Experiencia de 10 años en el Centro Médico ABC

Abstract

Objective: To asses outcomes of different surgical treatment for TOS with symptom improvement and quality of life (QOL). Methods: This was a retrospective observational study of patients with TOS admitted and treated surgically at our center between March 2009 and May 2018. Sociodemographic data, clinical presentation and surgical approach was obtained from medical records. A long-term follow-up questionnaire was conducted to asses QOL. Results: A total of 23 medical records were analyzed, 83% were women. All patients treated surgically were symptomatic. 62.5% were treated with supraclavicular approach, 33.3% transaxillary and 4.1% with supraclavicular/infraclavicular approach. 22 patients responded the QOL questionnaire, 96% had complete symptom resolution after surgery. Conclusion: Patients reported good outcomes and symptom resolution after surgery. A comparison of the patients’ outcomes showed no appreciable differences between surgical ap-proaches.