ArticleJournal of minimal access surgery
Median arcuate ligament (Dunbar) syndrome: Laparoscopic management and clinical outcomes of a single centre.
Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Surgical therapy of celiac axis and superior mesenteric artery syndrome.Langenbeck's archives of surgery · 2023Pooled it
- Laparoscopic median arcuate ligament release: Outcomes of 59 cases.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Article
- Outcomes of surgical versus conservative treatment in pediatric median arcuate ligament syndrome.Journal of pediatric gastroenterology and nutrition · 2026Article
- Laparoscopic Approach to Median Arcuate Ligament Syndrome: A Single-Center Experience.Medicina (Kaunas, Lithuania) · 2026Observational
- Exploring celiac trunk parameters in median arcuate ligament syndrome: A CT study.Surgical and radiologic anatomy : SRA · 2024Article
- Precise diagnosis and successful surgical intervention of the median arcuate ligament syndrome: A case report.International journal of surgery case reports · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedian arcuate ligament syndrome (MALS) is a condition characterised by chronic abdominal symptoms associated with median arcuate ligament (MAL) compression of the coeliac artery.
aimIn this observational study, we aimed to evaluate the outcomes of laparoscopic treatment in patients with MALS. MATERIALS AND
methodsThe data of ten patients with MALS who were subjected to laparoscopic sectioning of the MAL were retrospectively reviewed. The following data were evaluated: age, gender, clinical and diagnostic test findings, American Society of Anaesthesiologists score, operative findings and complications and mortality, hospital stay duration and hospital readmission. The diagnosis of MALS was established by computed tomography (CT) angiography.
resultsSix (60%) of ten patients with MALS were female and four (40%) were male. The mean age was 42.4 ± 12.3. The main symptoms were epigastric pain (100%) and weight loss (60%). CT angiography showed high-grade stenosis of the anterior wall of the proximal coeliac trunk and post-stenotic dilation caused by extrinsic compression of the MAL. Surgical procedure was uneventful in all patients. Operating time was 155.5 min (120-200) and intra-operative blood loss was 150 ml (100-250). Length of stay was 3.1 day (2-9), with no mortality. The post-operative complications developed in two female patients. One of them developed ileus and the other patient developed pulmonary thromboembolism. At 6-month follow-up, all patients were asymptomatic.
conclusionLaparoscopic decompression is an effective treatment for MALS and can provide symptomatic relief. This method may be the preferred modality of treatment in view of its lack of morbidity and good results.
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