ArticleVascular health and risk management2022
Laparoscopic Surgery for Median Arcuate Ligament Syndrome (MALS): A Prospective Cohort of 52 Patients.
Article in Vascular health and risk management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 21 citations in OpenAlex.
- Outcomes of surgical versus conservative treatment in pediatric median arcuate ligament syndrome.Journal of pediatric gastroenterology and nutrition · 2026Article
- Collateral circulation as a possible predictor of symptomatic median arcuate ligament syndrome: a case report.Annals of medicine and surgery (2012) · 2026Article
- Median Arcuate Ligament Syndrome: A Hidden Cause of Abdominal Pain.Clinical case reports · 2026Article
- 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
- Complications of Median arcuate ligament syndrome: age-independent but linked to celiac axis narrowing severity.Annals of medicine · 2025Article
- Laparoscopic median arcuate ligament release: Successful management of Dunbar syndrome in a young male.International journal of surgery case reports · 2025Article
- Median arcuate ligament syndrome (MALS): A case report of a young patient.International journal of surgery case reports · 2025Article
- Laparoscopic Surgery via an Inferior Pancreatic Border Approach for Median Arcuate Ligament Syndrome after Distal Gastrectomy: A Case Report.Surgical case reports · 2025Article
- Assessment of Transserosal Microcirculation with Visible Light Spectroscopy and Laser Doppler Flowmetry in Patients with Median Arcuate Ligament Syndrome and Chronic Mesenteric Ischemia.Vascular health and risk management · 2025Article
- Laparoscopic median arcuate ligament release with an antegrade approach in adolescents and young adults: a single center experience.Revista da Associacao Medica Brasileira (1992) · 2025Article
- Dynamic Ultrasound Assessment of Celiac Artery Flow Velocity in Median Arcuate Ligament Syndrome Diagnosis.The American journal of case reports · 2024Article
- Supradiaphragmatic origin of the celiac trunk leading to median arcuate ligament syndrome with superior mesenteric artery involvement.Journal of vascular surgery cases and innovative techniques · 2024Article
- Median arcuate ligament syndrome complicated with gallbladder stones: A case report.World journal of clinical cases · 2023Article
- Evaluation of a pain management program for patients with median arcuate ligament syndrome.SAGE open medicine · 2023Article
- Feasible management of median arcuate ligament syndrome in orthotopic liver transplantation recipients.World journal of gastrointestinal surgery · 2022Article
- Standardized approach to median arcuate ligament syndrome and laparoscopic release: A case series.Surgery in practice and science · 2022Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The selection of patients with MALS for surgical treatment depends upon the reliability of the symptom interpretation and the diagnostic work-up. We aimed to follow up the results of the laparoscopic decompression of the patients with MALS. Patients and Methods: In a single-center, 52 consecutive MALS patients were followed-up, prospectively, after transperitoneal laparoscopic decompression. MALS was diagnosed with a computed tomography angiography (CTA) verified stenosis, ≥50% of the celiac artery (CA), and with duplex ultrasound, a peak systolic velocity (PSV) ≥2.0 m/s. Postoperative, CTA, and duplex ultrasound were performed, and the patients were followed-up at 3, 6, 12 months, and yearly after that. Results: Mean age of the patients was 47 ±21 years, and 65% were females. The patients had a mean weight loss of 8.4 ±7.2 kg. Fifty-one patients had the laparoscopic operation with a mean operation time of 102 ± 28 minutes. Forty-seven patients (90%) achieved relief from the symptoms either completely (67%) or partially (23%) at 3-6 months of follow-up. Significant improvement in postoperative PSV was found compared to the preoperative values, p<0.001. Five patients (10%) with no immediate effect of the operation, but two of them became free from symptoms during the mean study follow-up of 2.4 ± 2 years. Five patients (10%) had operative complications, including one trocar injury to the liver, one pneumothorax, and three cases of bleeding from the branches of CA. Two patients died of cancer disease during the study period. Only two patients (4%) had symptoms relapse, both later treated successfully. Conclusion: Laparoscopic transperitoneal decompression provides most of the patients a persistent relief from MALS symptoms.
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