Robotic-assisted median arcuate ligament release.
Median arcuate ligament syndrome results from external compression of the celiac axis by attachments of the diaphragmatic crura. It has been treated with open or laparoscopic surgical decompression of the celiac axis with neurolysis. We describe our initial experience treating three patients using a robotic-assisted technique with median arcuate ligament release and celiac neurolysis. Average operative time was 2.2 hours. No intraoperative complications occurred. At an average of 11 months postoperative (14, 11, and 8 months), two patients continue with resolution of preoperative symptoms. Our experience affirms that further study using the robotic approach appears warranted.
Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Daniel
D
Relles
Neil
N
Moudgill
Atul
A
Rao
Francis
F
Rosato
Paul
P
DiMuzio
Joshua
J
Eisenberg
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000601:surgery; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003251:Constriction, Pathologic; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D012371:Robotics; D013577:Syndrome; D018616:Ultrasonography, Doppler, Duplex