Latest Progresses in Surgical Treatment of Median Arcuate Ligament Syndrome.
- Author:
Yan Ying YU
1
;
Jing Jing WANG
1
;
Zhi Chao LAI
1
;
Kang LI
1
;
Le Yin XU
1
;
Li Jing FANG
1
;
Jiang Yu MA
1
;
Xiaoxi YU
1
;
Bao LIU
1
Author Information
- Publication Type:Journal Article
- Keywords: endovascular treatment; median arcuate ligament release; median arcuate ligament syndrome; vascular reconstruction
- MeSH: Celiac Artery/surgery*; Constriction, Pathologic/surgery*; Decompression, Surgical; Humans; Laparoscopy; Ligaments/surgery*; Median Arcuate Ligament Syndrome/surgery*
- From: Acta Academiae Medicinae Sinicae 2021;43(2):283-287
- CountryChina
- Language:Chinese
- Abstract: Median arcuate ligament syndrome(MALS)is compression of the celiac trunk by the median arcuate ligament.Median arcuate ligament release is the corner stone for the surgical treatment of MALS.Open surgery,laparoscopic surgery,and robot-assisted surgery have been developed,among which laparoscopic surgery has been proposed as the preferred approach in view of its minimal trauma and short hospital stay.Auxiliary celiac plexus neurolysis could further alleviate the patient's discomfort.Moreover,vascular reconstitution is of vital importance in the case of persistent stenosis in the celiac artery despite of median arcuate ligament decompression.Vascular reconstruction has satisfactory long-term patency rate,while endovascular treatment is less invasive.This article aims to summarize the consensuses and advances and shed light on the surgical treatment of MALS.
