Evidence map›Paper›PMID 41107688›Full record

ArticleSurgery today2026

Laparoscopic surgery for median arcuate ligament syndrome: How to do it.

Masaharu Higashida, Shunji Endo, Masaaki Hori, Keisuke Ohta, Shuya Yano, Toshimasa Okada, Kazuhiko Yoshimatsu, Yoshinori Fujiwara, Tomio Ueno

Abstract read
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Article in Surgery today, 2026. 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. Observational
  2. Article
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

9 authors.

Masaharu HigashidaDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Shunji EndoDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan. endo-s@med.kawasaki-m.ac.jp.ORCID http://orcid.org/0000-0003-0720-4156
Masaaki HoriDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Keisuke OhtaDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Shuya YanoDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Toshimasa OkadaDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Kazuhiko YoshimatsuDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Yoshinori FujiwaraDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Tomio UenoDepartment of Digestive Surgery, Kawasaki Medical School, 577, Matsushima, Kurashiki, Okayama, 701-0192, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Median arcuate ligament syndrome (MALS) is a rare condition caused by the compression of the celiac artery and plexus, often resulting in postprandial abdominal pain. Owing to limited awareness, it is frequently misdiagnosed or inadequately treated. We herein describe our surgical approach for the management of MALS. Patients presenting with unexplained abdominal symptoms or visceral aneurysms underwent Doppler ultrasonography and three-dimensional computed tomography angiography during both inspiration and expiration to diagnose MALS. Laparoscopic surgery was performed with a camera port placed 5-7 cm cranial to the umbilicus. After incising the diaphragmatic crura and dividing the median arcuate ligament, we dissected the celiac plexus and incised the vascular sheath to completely expose the celiac artery root. Among the most recent 34 patients, all symptomatic patients experienced symptom improvement. This approach appears to be a safe and effective treatment for MALS that provides significant symptom relief.

Indexed as

Celiac ArteryLaparoscopyMedian Arcuate Ligament SyndromeAbdominal PainAdultComputed Tomography AngiographyFemaleHumansImaging, Three-DimensionalMaleMiddle AgedTreatment OutcomeUltrasonography, DopplerLaparoscopyMedian arcuate ligament syndromeVascular surgical procedures

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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.