Robotic Incision Of Median Arcuate Ligament
fazil abbas, michael sestito, Guhlam Abbas, MD.
West Virginia University School of Medicine, Morgantown, WV, USA.
BACKGROUND: Median Arcuate Ligament Syndrome is also known as celiac artery compression syndrome, celiac axis compression syndrome or Dunbar syndrome.10-24% have compression of Celiac Axis but rarely symptomatic. METHODS: Fibrous tissue connecting left and right crus and making the anterior surface of aortic hiatus, compressing the celiac axis. The pain may be due to compression of sympathetic chain. Pt are usually young females presenting with post prandial colicky pain, Nausea, Anorexia, Weight loss, Diarrhea.
It is a Diagnosis of exclusion. Workup includeDuplex ultrasonography : Peak systolic velocity > 200 cm/sCT Angiography: Fish hook appearance of Celia Axis originDynamic MR Angiography: Compression of Celiac Axis during respiration.
CONCLUSIONS:Robotic Incision of median arcuate ligament for MALS is a novel minimally invasive approach in well selected patients. it leads to faster recovery as compare to open approach
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