Back to 2025 Abstracts
Transaxillary First Rib Resection With Improved Visualization Using A Laparoscopic Camera
Lauren B. Grimsley, MD MBA, Alison Johnson, MD.
University of Tennessee Graduate School of Medicine, Knoxville, TN, USA.
BACKGROUND: Transaxillary first rib resections are notoriously difficult to visualize due to the small working space in the axillary incision. By utilizing a 10 thirty-degree laparoscopic camera, we can improve our visualization and lighting and safely allow for important teaching points during the case for medical students, residents and fellows.
METHODS: A 28-year-old female presented with a swollen left upper extremity and was found to have acute thrombosis of her left subclavian and axillary vein. She was diagnosed with venous thoracic outlet syndrome. She underwent venous suction thrombectomy without issue. We then discussed different approaches for a first rib resection and her consent was obtained to video her transaxillary rib resection surgery.
RESULTS: Using a 10 thirty-degree laparoscopic camera, we performed the transaxillary first rib resection with improved lighting and visualization. The medical student and fellow were able to identify important structures during the dissection.
CONCLUSIONS: Using a laparoscopic camera is a safe and effective way at improving the visualization of a transaxillary first rib resection for every learner in the operating room. The transaxillary approach provides excellent cosmetic result for the patient, but can be difficult to learn given the small working area in the incision. This video allows others to review key steps in the surgery as well as difficult to visualize anatomy if you are not the primary operating surgeon.
Back to 2025 Abstracts
