초록접수 현황
| 16F-021 | 구연 발표 |
Early Outcome of Surgery for Thoracic Outlet Syndrome
Young Woo Do¹, Woo Sik Yu², Geun Dong Lee¹, Sungsoo Lee¹
¹Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea, ²Department of Thoracic Surgery, Armed Forces Capital Hospital, Seongnam, Korea
Background : The aim of this study is to evaluate the functional prognosis after Thoracic Outlet Syndrome (TOS) surgery and report the early outcome of surgery for TOS.
Methods : From November 2015 to August 2016, 10 patients with thoracic outlet syndrome underwent surgery at single institute. In order to measure clinical and functional improvement, the application of Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used. We retrospectively analyzed the result of operation, score of DASH questionnaire. The DASH questionnaire was administered pre- and postoperatively.
Results : There were 8 males and 2 female, with the median age was 21 years (range, 19-44). The anterior and middle scalene muscle was sectioned and the first rib was resected in all the cases by means of a supraclavicular approach. Pectoralis minor tenotomy was performed in 5 patients. After operation, median length of stay for admissions was 8 days (range, 6-15). No serious complication was observed, except one case of chyle leakage. Mean preoperative score of DASH questionnaire was 49.68 (SD ± 17.38) and mean postoperative score of DASH questionnaire was 25.0 (SD ± 22.31) (p = 0.04).
Conclusion : Our study demonstrated that surgically decompression of thoracic outlet leads to significant benefit in TOS patients. Surgical treatment of thoracic outlet syndrome could be a good option.
Methods : From November 2015 to August 2016, 10 patients with thoracic outlet syndrome underwent surgery at single institute. In order to measure clinical and functional improvement, the application of Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used. We retrospectively analyzed the result of operation, score of DASH questionnaire. The DASH questionnaire was administered pre- and postoperatively.
Results : There were 8 males and 2 female, with the median age was 21 years (range, 19-44). The anterior and middle scalene muscle was sectioned and the first rib was resected in all the cases by means of a supraclavicular approach. Pectoralis minor tenotomy was performed in 5 patients. After operation, median length of stay for admissions was 8 days (range, 6-15). No serious complication was observed, except one case of chyle leakage. Mean preoperative score of DASH questionnaire was 49.68 (SD ± 17.38) and mean postoperative score of DASH questionnaire was 25.0 (SD ± 22.31) (p = 0.04).
Conclusion : Our study demonstrated that surgically decompression of thoracic outlet leads to significant benefit in TOS patients. Surgical treatment of thoracic outlet syndrome could be a good option.
책임저자: Sungsoo Lee
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
발표자: Young Woo Do, E-mail : ywdo@yuhs.ac