Abstract
Supraclavicular first rib resection has been performed since 1910. During the 75 years since then, improved techniques and more versatile instruments have been developed to facilitate the operation. Although a surgeon may prefer the transaxillary, infraclavicular, or the posterior approach to the rib, there will always be circumstances when the supraclavicular route will be the most desirable. The anatomy of the thoracic outlet area, as seen from above, should be a part of ever), surgeon's armamentarium.
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