{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:58:30Z","timestamp":1777737510082,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>First-rib resection is a key component of the treatment of Paget-Schroetter disease. There are many controversies regarding the management of this disease. We report a safe, effective, minimally invasive robotic transthoracic approach for resection of the first rib.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Over an 8-month period, five patients underwent robotic first-rib resection. Preoperative assessment included physical examination and bilateral venous angiography. On a thoracoscopic platform using three 2-cm incisions and one 1-cm incision, the robot was used to dissect the first rib and divide the scalene muscles. Success of the first-rib resection was assessed by postoperative venous angiography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were four men and one woman. Mean age was 34.6 \u00b1 10 years. Mean operative time was 195 \u00b1 24.6 minutes. There were no complications and no mortality. All patients had a patent subclavian vein on the postoperative venogram and were anticoagulated with warfarin for 3 months. At a median follow-up of 12 months, all patients had an open subclavian vein for a patency rate of 100%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robotic thoracoscopic first-rib resection represents a feasible minimally invasive approach to en bloc resection of the first rib. This technique minimizes the risk of neurovascular complications that are associated with conventional techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/imi.0b013e3182542ab3","type":"journal-article","created":{"date-parts":[[2012,5,10]],"date-time":"2012-05-10T04:53:12Z","timestamp":1336625592000},"page":"39-44","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Robotic En Bloc First-Rib Resection for Paget-Schroetter Disease, a Form of Thoracic Outlet Syndrome Technique and Initial Results"],"prefix":"10.1177","volume":"7","author":[{"given":"Farid","family":"Gharagozloo","sequence":"first","affiliation":[{"name":"Washington Institute of Thoracic and Cardiovascular Surgery, the George Washington University Medical Center, Washington, DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Meyer","sequence":"additional","affiliation":[{"name":"Washington Institute of Thoracic and Cardiovascular Surgery, the George Washington University Medical Center, Washington, DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara J.","family":"Tempesta","sequence":"additional","affiliation":[{"name":"Washington Institute of Thoracic and Cardiovascular Surgery, the George Washington University Medical Center, Washington, DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Margolis","sequence":"additional","affiliation":[{"name":"Washington Institute of Thoracic and Cardiovascular Surgery, the George Washington University Medical Center, Washington, DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric T.","family":"Strother","sequence":"additional","affiliation":[{"name":"Washington Institute of Thoracic and Cardiovascular Surgery, the George Washington University Medical Center, Washington, DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srini","family":"Tummala","sequence":"additional","affiliation":[{"name":"Reston Radiology Consultants, Reston Hospital, Reston, VA USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,1,1]]},"reference":[{"key":"bibr1-imi.0b013e3182542ab3","doi-asserted-by":"publisher","DOI":"10.1136\/jclinpath-2011-200479"},{"key":"bibr2-imi.0b013e3182542ab3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.12.022"},{"key":"bibr3-imi.0b013e3182542ab3","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-187510000-00034"},{"key":"bibr4-imi.0b013e3182542ab3","author":"Schroetter L.V.","year":"1884","journal-title":"Nathnagel Handbuch der Pathologie und 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