Juan Esteban Perez, MD, Andres Narvaez Cordova, MD, Melissa Castro, MD, A. Daniel Guerron, MD, Sabino Zani Jr., MD. Duke University
Laparoscopic management of median arcuate ligament syndrome (MALS) is effective but remains technically challenging. A robotic approach provides improved visualization, dexterity, and precision, which facilitates dissection.
The patient was a 58-year-old female with chronic abdominal pain. The procedure was performed in a DaVinci-Xi System. The celiac artery was isolated and the MAL divided. Dissection continued 4-cm proximally along the aorta, dividing all celiac plexus fibers. The procedure was completed successfully in 96 minutes without any complications and minimal blood loss. At 1-month, the patient’s symptoms had completely resolved.
A Robotic approach to MALS is a safe and highly effective technique.
This abstract was accepted for Exhibit Hall Video presentation at the 2020 SAGES Virtual Meeting in the Robotics / Advanced Technologies topic. Its program number was: V042 and its Abstract ID was: 102153