ArticleWorld journal of gastrointestinal surgery2022
Feasible management of median arcuate ligament syndrome in orthotopic liver transplantation recipients.
Article in World journal of gastrointestinal surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Pancreaticoduodenectomy preserving blood flow of the gastroduodenal artery.Surgery today · 2025Article
- Laparoscopic median arcuate ligament release using an anterior approach for median arcuate ligament syndrome.Annals of gastroenterological surgery · 2024Article
- Median Arcuate Ligament Syndrome (MALS) in Hepato-Pancreato-Biliary Surgery: A Narrative Review and Proposed Management Algorithm.Journal of clinical medicine · 2024Review
- Celiac trunk thrombosis in a patient with antiphospholipid syndrome induced by median arcuate ligament compression: a case presentation and literature review.Rheumatology international · 2024Review
- 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
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Authors and funding
4 authors.
Funding
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Abstract
backgroundIn orthotopic liver transplantation (OLT) recipients, median arcuate ligament syndrome (MALS) is considered a risk factor for hepatic arterial thrombosis (HAT), which is dreadful for OLT recipients. Different alternative surgical procedures have been proposed to overcome the impact of MALS on transplantation, but clinical evidence is still scarce.
aimTo evaluate the feasible surgical management of MALS to reduce complications in OLT patients.
methodsData for 288 consecutive patients who underwent OLT at The First Hospital of Jilin University between January 2017 and July 2020 were retrospectively reviewed. The surgical management of median arcuate ligament (MAL) and modifications to the arterial anastomosis were recorded. The perioperative and long-term prognosis of MALS recipients were noted. Detailed preoperative and postoperative data of patients were analyzed in a descriptive manner.
resultsEight patients with MALS were included in this study. The first patient with MALS received no intervention during the primary surgery and developed postoperative HAT. Salvage liver transplantation with MAL division was successfully performed. Gastroduodenal artery (GDA) preservation with splenic artery ligation was performed on three patients, only GDA preservation was performed on two patients, and no intervention was performed on two patients. No patient developed HAT after surgery and postoperative recovery was satisfactory.
conclusionThe preservation of collateral circulation between the superior mesenteric artery and celiac trunk
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