Robotic first rib resection for venous thoracic outlet syndrome.

Thoracic outlet syndrome is a collective term for symptoms that occur due to the impingement of the neurovascular structures in the thoracic outlet. Diagnosing thoracic outlet syndrome can be challenging since it can give rise to a broad spectrum of symptoms. Transaxillary or supraclavicular first rib resection are the most commonly used approaches for surgical treatment after failure of conservative measures.  In this video tutorial we demonstrate a robotic-assisted thoracoscopic surgery first rib resection for achieving a decompression of the thoracic outlet.