Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA.
J Vasc Surg. 2012 Aug;56(2):500-3. doi: 10.1016/j.jvs.2012.02.057. Epub 2012 Jun 21.
Median arcuate ligament syndrome results from external compression of the celiac axis by attachments of the diaphragmatic crura. It has been treated with open or laparoscopic surgical decompression of the celiac axis with neurolysis. We describe our initial experience treating three patients using a robotic-assisted technique with median arcuate ligament release and celiac neurolysis. Average operative time was 2.2 hours. No intraoperative complications occurred. At an average of 11 months postoperative (14, 11, and 8 months), two patients continue with resolution of preoperative symptoms. Our experience affirms that further study using the robotic approach appears warranted.
中位弓状韧带综合征是由膈脚附着处对腹腔干的外部压迫引起的。它已经通过开放或腹腔镜手术对腹腔干进行减压和神经松解来治疗。我们描述了使用机器人辅助技术进行中位弓状韧带松解和腹腔干神经松解治疗的三名患者的初步经验。平均手术时间为 2.2 小时。术中无并发症发生。术后平均 11 个月（14、11 和 8 个月），两名患者继续缓解术前症状。我们的经验证实，使用机器人方法进一步研究是有必要的。
