{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T02:59:34Z","timestamp":1783997974890,"version":"3.55.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2005,11,1]],"date-time":"2005-11-01T00:00:00Z","timestamp":1130803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2005,11,1]]},"abstract":"<jats:p> The purpose of this article is to discuss the feasibility of using computer-enhanced instrumentation to improve visualization and therefore patient safety during transaxillary first rib resection. <\/jats:p><jats:p> From November 1998 to July 2005, 105 patients who had failed conservative treatment underwent 131 procedures for thoracic outlet decompression. Eighty-nine endoscopic transaxillary first rib resections were completed using Aesop\/Hermes integrated voice control instrumentation (Computer Motion, Goleta, CA). Since February 2003, dissection in 42 procedures was performed using the daVinci Surgical System (Intuitive Surgical, Inc, Sunnyvale, CA). <\/jats:p><jats:p> The surgical findings with cervical bands correlated with the preoperative symptoms. One hundred percent of patients with a combination of neurogenic and arterial thoracic outlet syndrome (TOS) requiring cervical rib resection had Roos type I and\/or II bands. Additional surgical findings included the following: combination of neurogenic and arterial TOS without cervical ribs or neurogenic TOS alone had type III, IV, or V bands, and patients with venous compression (100%) had type VII bands. No mortalities or permanent neurovascular injuries occurred. There was a 6.1% postoperative complication rate. Persistent myofibrositis was found in 34% of patients with ongoing symptoms. <\/jats:p><jats:p> Conclusion: The daVinci three-dimensional optical imaging system enhances visualization, thereby promoting telemanipulation of soft tissue structures in a relatively inaccessible working space. Endoscopic computerized instrumentation in transaxillary first rib resection decreases the risk of neurovascular injury, promotes complete decompression, and therefore provides a safe alternative to standard first rib resections. <\/jats:p>","DOI":"10.1258\/rsmvasc.13.6.327","type":"journal-article","created":{"date-parts":[[2011,2,16]],"date-time":"2011-02-16T00:12:37Z","timestamp":1297815157000},"page":"327-335","source":"Crossref","is-referenced-by-count":39,"title":["Computer-Assisted Instrumentation during Endoscopic Transaxillary First Rib Resection for Thoracic Outlet Syndrome: A Safe Alternate Approach"],"prefix":"10.1177","volume":"13","author":[{"given":"Bernardo D.","family":"Martinez","sequence":"first","affiliation":[{"name":"Minimally Invasive Vascular Surgery Department, St. Vincent Mercy Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine S.","family":"Wiegand","sequence":"additional","affiliation":[{"name":"Minimally Invasive Vascular Surgery Department, St. Vincent Mercy Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Evans","sequence":"additional","affiliation":[{"name":"Minimally Invasive Vascular Surgery Department, St. Vincent Mercy Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angie","family":"Gerhardinger","sequence":"additional","affiliation":[{"name":"Minimally Invasive Vascular Surgery Department, St. Vincent Mercy Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Mendez","sequence":"additional","affiliation":[{"name":"Minimally Invasive Vascular Surgery Department, St. Vincent Mercy Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2005,11,1]]},"reference":[{"key":"bibr-bib1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196603000-00005"},{"key":"bibr-bib2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)32969-1"},{"key":"bibr-bib3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(76)90456-6"},{"key":"bibr-bib4","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1982.01380350037006"},{"key":"bibr-bib5","unstructured":"Martinez B. Thoracic outlet syndrome, intra-operative endoscopic video recording evaluation. American College of Surgeons Library. October 1985, Catalog ACS-1397."},{"key":"bibr-bib6","unstructured":"Martinez B. Adjunctive endoscopic video technique in transaxillary first ribs resection for thoracic outlet syndrome: ten years experience. American College of Surgeons Library, October 1996, Catalog ACS 2008:8."},{"key":"bibr-bib7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)44765-4"},{"key":"bibr-bib8","first-page":"582","volume":"15","author":"Murphy T","year":"1910","journal-title":"Aust Med J"},{"key":"bibr-bib9","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-192785060-00005"},{"key":"bibr-bib10","first-page":"109","volume":"85","author":"Sanders RJ","year":"1979","journal-title":"Surgery"},{"key":"bibr-bib11","first-page":"1077","volume":"92","author":"Roos D","year":"1982","journal-title":"Surgery"},{"key":"bibr-bib12","first-page":"753","volume-title":"Current surgical therapy","author":"Martinez B","year":"1992","edition":"4"},{"key":"bibr-bib13","volume-title":"Thoracic outlet syndrome: a common sequela of neck injuries.","author":"Sanders RJ","year":"1991"},{"key":"bibr-bib14","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1986.01400100047009"},{"key":"bibr-bib15","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80269-7"},{"key":"bibr-bib16","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(85)90052-7"},{"key":"bibr-bib17","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4757-3105-7_36"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/rsmvasc.13.6.327","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/rsmvasc.13.6.327","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/rsmvasc.13.6.327","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T00:59:41Z","timestamp":1740877181000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/rsmvasc.13.6.327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,11,1]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2005,11,1]]}},"alternative-id":["10.1258\/rsmvasc.13.6.327"],"URL":"https:\/\/doi.org\/10.1258\/rsmvasc.13.6.327","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,11,1]]}}}