Robotic-assisted treatment of celiac artery compression syndrome: report of a case and review of the literature.
BACKGROUND
The surgical management of celiac artery compression syndrome (CACS) is controversial. Controversies include the appropriate surgical technique, the surgical approach, and the utility of postoperative stents. The literature is reviewed, and a case of CACS is presented in which a robotic-assisted division of the median arcuate ligament (MAL) was performed.


METHODS
Robotic-assisted treatment of celiac artery syndrome was carried out using six (five 1 cm and one 2 cm) abdominal incisions. The robotic device was used to expose the aorta and celiac artery and divide the median arcuate ligament.


RESULTS
Postoperatively, the patient's postprandial abdominal pain subsided. On 16 month follow-up, the patient was doing well, tolerated an unrestricted diet without symptoms, and exhibited weight gain.


CONCLUSIONS
This case is the second reported in the literature and demonstrates that the robotic approach to division of the MAL is feasible, safe, and efficacious.
Washington Institute of Thoracic and Cardiovascular Surgery, The George Washington University Medical Center, Washington, DC 20037, USA. meyerma@gwu.edu
Mark
M
Meyer
Farid
F
Gharagozloo
Duy
D
Nguyen
Barbara
B
Tempesta
Eric
E
Strother
Marc
M
Margolis
D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D002445:Celiac Artery / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000601:surgery*; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D000074742:Median Arcuate Ligament Syndrome; D012371:Robotics / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods; D013577:Syndrome; D014656:Vascular Surgical Procedures / Q000379:methods; D055815:Young Adult