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Robotic Assisted Median Arcuate Ligament Release
Martin J. Dib*, Mark P. Callery, Marc Schermerhorn, a. James Moser
Surgery, BIDMC, Boston, MA

40-year-old female with chronic abdominal pain and preoperative aortography consistent with median arcuate ligament syndrome. Ports and a laparoscopic liver retractor are placed. After docking the robot, the left gastric vein is divided. The left gastric artery is encircled with a vessel loop to apply inferior traction and identify the common hepatic artery of the celiac trunk. The left lateral border of the celiac trunk is dissected. Hook cautery and LigaSure is used to divide the left crus of the diaphragm. Finally, circumferential skeletonization of the aorta at the entrance of the celiac trunk is achieved.


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