Evidence map›Paper›PMID 40853510›Full record

ArticleJournal of robotic surgery2025

Technique and outcomes of robotic median arcuate ligament release in 52 patients: a multidisciplinary experience.

Andrea Simioni, Gloria Jung, Cameron Villarreal, Kenneth Meza Monge, Jeniann Yi, Max V Wohlauer, Emily A Malgor, Rafael D Malgor, Donald L Jacobs, Juan-Pablo Idrovo and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Andrea SimioniDivision of Gastrointestinal Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA.
Gloria JungCreighton University School of Medicine, Creighton University, Omaha, NE, 68178, USA.
Cameron VillarrealDivision of Gastrointestinal Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA.
Kenneth Meza MongeDivision of Gastrointestinal Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA.
Jeniann YiDivision of Vascular Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA. jeniann.yi@cuanschutz.edu.
Max V WohlauerDivision of Vascular Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA.
Emily A MalgorDivision of Vascular Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA.
Rafael D MalgorDivision of Vascular Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA.
Donald L JacobsDivision of Vascular Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA.
Juan-Pablo IdrovoDivision of Gastrointestinal Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA.
Akshay PratapDivision of Gastrointestinal Surgery, Department of Surgery, University of Colorado, 12631 E. 17th Avenue, Room 6001, Mail Stop C313, Aurora, CO, 80045, USA. akshay.chauhan@cuanschutz.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite previous reports of robotic-assisted release for median arcuate ligament syndrome (MALS), the safety and efficacy of this approach have been difficult to establish due to the rarity of the disease. We aimed to present our experience at a tertiary surgery referral center. We performed a retrospective analysis of all robotic-assisted median arcuate ligament release (rMALR) performed at our institution from 7/2019 to 5/2025. The diagnosis was based on symptoms at presentation, celiac artery duplex ultrasound, and findings on computed tomographic angiography. The primary outcomes include resolution of symptoms at 6 weeks, 1 year, and 2 years follow-up. Secondary outcomes include resolution of narcotic use, operative time, 30-day mortality, length of stay, and postoperative complications. 52 patients underwent robotic MALR; 94% were females, with a mean age of 39 (18.2-52) years and a mean BMI of 21.2 kg/m

Indexed as

Celiac ArteryMedian Arcuate Ligament SyndromeRobotic Surgical ProceduresAdolescentAdultFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeYoung AdultMedian arcuate ligament releaseMedian arcuate ligament syndromePhrenoesophageal membraneRobotic surgery

Identifiers

PMID40853510

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.