Laparoscopic Division of Median Arcuate Ligament for the Celiac Axis Compression Syndrome-Two Case Reports with Review of Literature.
Median arcuate ligament (MAL) syndrome is an uncommon condition caused by the external compression of the celiac trunk by the median arcuate ligament. In the current era of technological advancement, this syndrome may be corrected through the laparoscopic approach. We report two patients who were diagnosed as MAL syndrome and underwent laparoscopic division of MAL fibers at our institute. Both the patients improved symptomatically following the procedure and were discharged on the fourth post-operative day. Also, they remained symptom free during subsequent follow-up period of 1 year and 8 months, respectively. Laparoscopic approach to correct the MAL syndrome is feasible and safe. It may be the preferred modality of treatment in view of its superior visualization and lack of morbidity. However, adequate experience in advanced laparoscopic surgery is required before attempting this procedure.
GEM Hospital and Research Center, 45, Pankaja Mill Road, Ramanathapuram Coimbatore, 641045 Tamil Nadu India.
Parthasarathy
P
Ramakrishnan
GEM Hospital and Research Center, 45, Pankaja Mill Road, Ramanathapuram Coimbatore, 641045 Tamil Nadu India.
Biswajit
B
Deuri
GEM Hospital and Research Center, 45, Pankaja Mill Road, Ramanathapuram Coimbatore, 641045 Tamil Nadu India.
M S S
MS
Keerthi
GEM Hospital and Research Center, 45, Pankaja Mill Road, Ramanathapuram Coimbatore, 641045 Tamil Nadu India.
Subrahmaneswara Babu
SB
Naidu
GEM Hospital and Research Center, 45, Pankaja Mill Road, Ramanathapuram Coimbatore, 641045 Tamil Nadu India.
Rajapandian
R
Subbaiah
GEM Hospital and Research Center, 45, Pankaja Mill Road, Ramanathapuram Coimbatore, 641045 Tamil Nadu India.
Praveen
P
Raj
GEM Hospital and Research Center, 45, Pankaja Mill Road, Ramanathapuram Coimbatore, 641045 Tamil Nadu India.
Senthilnathan
S
Palanisamy
GEM Hospital and Research Center, 45, Pankaja Mill Road, Ramanathapuram Coimbatore, 641045 Tamil Nadu India.
Palanivelu
P
Chinnusamy
Celiac axis compression; Laparoscopic surgery; Median arcuate ligament; Minimal invasive surgery