ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Robotic Surgery for Median Arcuate Ligament Syndrome.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- The Investigation and Management of the Abdominopelvic Vascular Compression Syndromes in Patients with Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorder.Vascular health and risk management · 2026Pooled it
- Feasibility and safety of robotic-assisted surgical approach in median arcuate ligament syndrome-a systematic review.Journal of robotic surgery · 2024Pooled it
- Surgical therapy of celiac axis and superior mesenteric artery syndrome.Langenbeck's archives of surgery · 2023Pooled it
- Efficacy of interventions to reduce long term opioid treatment for chronic non-cancer pain: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2022Pooled it
- Laparoscopic Approach to Median Arcuate Ligament Syndrome: A Single-Center Experience.Medicina (Kaunas, Lithuania) · 2026Observational
- Restoration of luminal patency of the celiac artery after division of the median arcuate ligament in an adolescent with median arcuate ligament syndrome presenting with celiac artery occlusion.Journal of vascular surgery cases and innovative techniques · 2026Article
- Robotic Median Arcuate Ligament Release May Offer Superior Symptom Improvement to Laparoscopic Release.Annals of vascular surgery · 2026Article
- Robotic-Assisted Vascular Surgery: Current Landscape, Challenges, and Future Directions.Journal of clinical medicine · 2025Review
- Technique and outcomes of robotic median arcuate ligament release in 52 patients: a multidisciplinary experience.Journal of robotic surgery · 2025Article
- Chronic Post-Prandial Epigastric Pain Associated with Median Arcuate Ligament Syndrome and Atherosclerosis of the Celiac Trunk in An Elderly Woman: A Case Report.The American journal of case reports · 2025Article
- Robotic-Assisted Vascular Surgery: A Clinical Perspective.Methodist DeBakey cardiovascular journal · 2025Review
- Short and longterm outcome of minimally invasive therapy of median arcuate ligament syndrome.Langenbeck's archives of surgery · 2024Article
- Robot-assisted vascular surgery: literature review, clinical applications, and future perspectives.Journal of robotic surgery · 2024Review
- Median Arcuate Ligament Syndrome (MALS) in Hepato-Pancreato-Biliary Surgery: A Narrative Review and Proposed Management Algorithm.Journal of clinical medicine · 2024Review
- Median arcuate ligament syndrome complicated with gallbladder stones: A case report.World journal of clinical cases · 2023Article
- Prognostic factors for the long term outcome after surgical celiac artery decompression in MALS.Orphanet journal of rare diseases · 2023Article
- Review
- Median arcuate ligament syndrome often poses a diagnostic challenge: A literature review with a scope of our own experience.World journal of gastrointestinal surgery · 2023Review
- Robotic versus laparoscopic median arcuate ligament (MAL) release: a retrospective comparative study.Surgical endoscopy · 2022Article
- Median arcuate ligamentum syndrome: Four case reports.World journal of clinical cases · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompression of the celiac artery by the median arcuate ligament results in median arcuate ligament syndrome (MALS). Using a consecutive cohort of patients with MALS, this study evaluated the efficacy and safety of robotic median arcuate ligament release (MALR).
methodsA retrospective chart review was performed on patients who underwent robotic MALR from August 2012 to April 2018. Patient workup included history and physical examination, mesenteric Doppler ultrasound, and CT (Computed Tomography) scan. Outcomes included pain improvement, length of stay, operation duration, narcotic use, and postoperative complications.
resultsTwenty-seven patients met inclusion criteria. Two thirds of the cohort were female and the mean age was 49 ± 15.5 years. Postprandial abdominal pain was the most common preoperative symptom (25/27, 93%). CT (Computed Tomography) was performed in 24 (89%), and celiac stenosis > 70% was observed in all. Operative duration was 95 minutes on average (range, 53-358 minutes), and in 24/27 (89%) patients, estimated blood loss was < 100 mL. Eighty-one percent of patients were discharged the day of surgery (22/27). Two cases were converted to open, with only one major complication occurring. At 30 or more days postoperation, 17 patients (68%) had full, 1 (4%) partial, and 1 (4%) no symptom resolution, 6 (24%) had symptom recurrence after initially having resolution. Fifty-six percent achieved narcotic liberation 9/16 (56%).
conclusionsRobotic MALR is a safe option for treatment of MALS with high response rates, early hospital discharge, and opportunity for narcotic liberation.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.