Robotic Revisional Median Arcuate Ligament Release

Andrew R Brownlee, MD1, Brian Mitzman, MD2, Richard S Lazzaro, MD, FACS1. 1Lenox Hill Hopital, 2University of Chicago

This is the case of a 39 year-old male who was diagnosed with median arcuate ligament syndrome (MALS) at an outside hopital and underwent a laparoscopic median arcuate ligament release. He recovered well from his surgery, however his symptoms persisted. He presented to our institution for a second opinion. He underwent repeat imaging which showed a persistent high grade stenosis of the celiac origen.

After a long discussion with the patient, the decision was made to attept to revise the release procedure. He underwent a robotic revision of his median arcuate ligament release. 

The patient is now 3 years post-procedure is entirely asymptomatic. Topics to be addressed in this video and in discussion are the decisions and implications related to revisional surgery for median arcuate ligament syndrome and the potentian benefits of a robotic approach to the procedure. 

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