ROBOT ASSISTED MEDIAN ARCUATE LIGAMENT RELEASE WITH ICG DELINIATION OF VASCULAR ANATOMY
Brian R. Davis, Michael Cutshall*, Richard W. McCallum
Texas Tech University Health Sciences Center El Paso, El Paso, TX
We present a 41 year old male with multiple admissions for chronic nausea, emesis, post prandial abdominal pain, and weight loss. Celiac Duplex US and angiography were consistent with MALS revealing elevated peak systolic velocity (PSV) and compression of the celiac artery. Pre operative Duplex US showed elevated PSV that increased during expiration. A robotic approach with ICG was utilized to help delineate vascular anatomy. After median arcuate ligament release, Celiac Duplex US showed decrease in PSV to normal value. Patient had near total relief of symptoms post operatively.
Back to 2023 Abstracts