Laparoscopic decompression of the celiac trunk — tips and tricks
- 1Department of Surgery, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, Warsaw, Poland
- 2Department of General, Vascular, and Oncological Surgery, Miedzylesie Specialist Hospital, Warsaw, Poland
Abstract
Median arcuate ligament syndrome (MALS, Dunbar syndrome) is caused by compression of the celiactrunk and the autonomic nerve plexus surrounding the artery by the median arcuate ligament of thediaphragm. The condition is a diagnosis of exclusion because its symptoms are nonspecific. These include postprandial abdominal pain and dyspeptic symptoms leading to anorexia and eating disorders.Diagnostic imaging is based on Doppler ultrasonography and computed tomography. Surgery is thetreatment of choice. Its aim is to decompress the celiac trunk using open or, increasingly, minimallyinvasive techniques, including laparoscopic or robotic surgery. The aim of this paper is to present the correct technique for laparoscopic decompression of the celiac trunk, taking into account our own tips and tricks. Furthermore, the most common complications anda comparison of open, laparoscopic, and robotic methods in terms of early and long-term outcomesare presented. In summary, laparoscopic management is safe and feasible for well-selected patients with MALS at experienced centers. To establish it as a standard of care, future clinical studies comparing the threeapproaches — open, laparoscopic, and robotic — should be undertaken.
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BibTeX
@article{janion2026laparoscopic,
title = {{Laparoscopic decompression of the celiac trunk — tips and tricks}},
author = {Arkadiusz M. Janion and Radosław A. Kowalewski},
journal = {Acta Angiologica},
year = {2026},
month = oct,
doi = {10.5603/aa.112014},
url = {https://doi.org/10.5603/aa.112014},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Laparoscopic decompression of the celiac trunk — tips and tricks
AU - Arkadiusz M. Janion
AU - Radosław A. Kowalewski
PY - 2026
DA - 2026/10/23
JO - Acta Angiologica
DO - 10.5603/aa.112014
UR - https://doi.org/10.5603/aa.112014
AB - Median arcuate ligament syndrome (MALS, Dunbar syndrome) is caused by compression of the celiactrunk and the autonomic nerve plexus surrounding the artery by the median arcuate ligament of thediaphragm. The condition is a diagnosis of exclusion because its symptoms are nonspecific. These include postprandial abdominal pain and dyspeptic symptoms leading to anorexia and eating disorders.Diagnostic imaging is based on Doppler ultrasonography and computed tomography. Surgery is thetreatment of choice. Its aim is to decompress the celiac trunk using open or, increasingly, minimallyinvasive techniques, including laparoscopic or robotic surgery. The aim of this paper is to present the correct technique for laparoscopic decompression of the celiac trunk, taking into account our own tips and tricks. Furthermore, the most common complications anda comparison of open, laparoscopic, and robotic methods in terms of early and long-term outcomesare presented. In summary, laparoscopic management is safe and feasible for well-selected patients with MALS at experienced centers. To establish it as a standard of care, future clinical studies comparing the threeapproaches — open, laparoscopic, and robotic — should be undertaken.
SN - 1234-950X
SN - 1644-3276
ER -