Seconds from disaster: laparoscopic median arcuate ligament release and lessons learned

This video illustrates 2 cases of laparoscopic median arcuate ligament release.

The first case was performed after reviewing a previously presented SAGES video on a similar patient (Carbonelle AM, et al Laparoscopic Management of Median Arcuate Ligament Syndrome, Surg Endosc 2005:19(5)-729.) The authors attempted a similar approach. Upon near completion of the case, a devastating complication is encountered due to injury to the celiac axis with a clip applier.

The lessons learned from this complication are reviewed and a second uncomplicated case of laparoscopic median arcuate ligament release is presented based upon the experience with the initial case.

In conclusion, laparoscopic median arcuate ligament release remains a viable alternative to an open procedure. There are educational benefits to reviewing videos of previous cases, additionally, cases with unanticipated intraoperative events provides valuable information to all members of the surgical team.


Session: Podium Presentation

Program Number: V004

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