Abstract
We evaluated surgery for thoracic outlet syndrome (TOS). Forty patients had undergone surgery for TOS. The surgical methods consisted of the anterior approach for scalenectomy (AAS), the lateral approach for scalenectomy (LAS), and transaxillary first rib resection (FR). Preoperative symptoms disappeared in 23/26 (88%), 5/7 (71%), and 10/12 (83%) operations in AAS, LAS, and FR, respectively. Postoperative complications occurred in 1/26, 0/7, and 2/12 in AAS, LAS, and FR, respectively. We discuss the feature of these three operative methods, and conclude that LAS is the procedure of choice in surgery for TOS.
