Abstract
We evaluated surgery for thoracic outlet syndrome (TOS) and long-term follow-up outcome. The surgical methods consisted of the transaxillary approach for the first rib resection (FR), the anterior approach for scalenectomy (AAS), and the lateral approach for scalenectomy (LAS). Preoperative symptoms disappeared immediately in 11/14 (79%), 23/26 (88%), and 7/9(78%) of patients in FR, AAS, and LAS, respectively. In long-term follow-up (more than two years), there were three recurrent cases. Two of cases these underwent reoperation (FR) and their symptoms disappeared. We discussed the features and outcomes of these three operative methods.
