Perimammary uniportal video-assisted thoracoscopic surgery rib resection with posterior accessory disarticulation of a large bone hemangioma: a case report

Rib tumors are uncommon, accounting for approximately 10% of all primary bone tumors. Among them, rib hemangiomas are extremely rare benign lesions for which complete surgical resection of the affected rib is generally recommended. Due to their inherently high vascularity, these tumors are associated with a significant risk of intraoperative bleeding. Traditionally, open surgery has been the standard approach for rib tumor resection, particularly when the lesion involves the costovertebral joint and requires disarticulation. Although a few reports describe isolated rib resections performed using a uniportal video-assisted thoracoscopic surgery (UVATS) approach, none have involved resection at the costovertebral joint.