Laparoscopic versus open celiac ganglionectomy in patients with median arcuate ligament syndrome

Journal of Vascular Surgery
Allan W TullochWilliam J Quinones-Baldrich

Abstract

Median arcuate ligament syndrome (MALS) is a rare disorder characterized by abdominal pain and compression of the celiac artery. Traditional management consists of open MAL division, with or without arterial reconstruction. We present our outcomes using a laparoscopic approach and compare them to patients treated with open MAL division during the same period. A retrospective medical records review of all patients with MALS treated at the University of California-Los Angeles from January 1999 to 2009 was performed. Fourteen patients with MALS were treated. All patients underwent an extensive preoperative gastrointestinal (GI) workup with 10 undergoing attempted laparoscopic division of the MAL and celiac ganglion (laparoscopic ganglionectomy [LG]). Two intraoperative conversions were performed for bleeding. Six patients were treated in the open surgery group (open ganglionectomy [OG]). There were no deaths or reoperations in either group. Median time to feeding was 1.0 vs 2.8 days (P≤.05) in the LG and OG groups, respectively, which was statistically significant. Median length of hospitalization was also significantly lower in the LG group compared with the OG group (2.3 vs 7.0 days; P≤.05). Eight patients had LG (100%) and 5 pa...Continue Reading

References

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Citations

Sep 19, 2012·Gastroenterology Research and Practice·Jen-Wei ChouYung-Fang Chen
Sep 15, 2011·Journal of Clinical Imaging Science·Victor LeeVikram S Dogra
Jul 13, 2013·Surgical Endoscopy·Michael V DoWilliam S Richardson
Jan 4, 2012·Digestive Diseases and Sciences·Owen P PalmerGeorge A Poultsides
Jul 17, 2013·Journal of the American Geriatrics Society·Alice LaudisioRaffaele Antonelli Incalzi
Feb 13, 2017·Journal of Vascular Surgery·Kelvin Kam Fai HoTimothy McGahan
Mar 12, 2015·Journal of Vascular Surgery·Jesse A ColumboDavid Stone
May 4, 2011·Vascular and Endovascular Surgery·Nedaa SkeikFadi I Jabr
Dec 1, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Javier A CienfuegosFernando Rotellar
Aug 3, 2013·Journal of the Korean Surgical Society·Sang Jin KimYoung-Wook Kim
Sep 1, 2015·Annals of the Royal College of Surgeons of England·M RubinkiewiczA Budzynski
Apr 19, 2012·ANZ Journal of Surgery·Tam NguyenThomas J Hugh
Jan 5, 2017·Cardiovascular and Interventional Radiology·Layla A NasrAli A Haydar
Mar 19, 2020·Current Gastroenterology Reports·Karthik Gnanapandithan, Paul Feuerstadt
Oct 4, 2019·International Angiology : a Journal of the International Union of Angiology·Enrique M San NorbertoCarlos Vaquero
May 31, 2018·Surgical Endoscopy·Fred BrodyAnton N Sidawy
Jul 1, 2019·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Sivaprasad VeerbhadranJayakumar Thanathu Krishnan
Oct 5, 2020·International Journal of Surgery Case Reports·Sharad SharmaFarah Ingale

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