ROBOTIC ASSISTED SURGICAL MANAGEMENT OF MEDIAN ARCUATE LIGAMENT COMPRESSION SYNDROME AND GASTROPARESIS
Adel Hanandeh*1,2, Kevin El-Hayek1,2, Sergio Bardaro1,2
1General Surgery, Case Western Reserve University, Cleveland, OH; 2MetroHealth Medical Center, Cleveland, OH
Median arcuate ligament syndrome (MALS) is rare etiology of postpranadial abdominal pain and feeding intolerance. Due to its vague clinical presentation, it is often missed leading to prolong patient suffering prior to accurate diagnosis and treatment.
Median arcuate ligament syndrome is multifactorial encompassing vascular malperfusion due to celiac artery compression and neurogenic symptoms due to celiac ganglion compression. In this case we are describing the utility of robotic assisted surgical interventions to obtain accurate median arcuate release using intra-operative robotic assisted duplex US and Infrared Fluroscence imaging
to ensure adequate celiac artery perfusion.
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