Bustos Roberto, Papamichail Michail, Mangano Alberto, Valle Valentina, Giulianotti Pier Cristoforo
Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA.
J Surg Case Rep. 2020 May 18;2020(5):rjaa088. doi: 10.1093/jscr/rjaa088. eCollection 2020 May.
The Median Arcuate Ligament (MAL) syndrome is the symptomatic compression of the celiac trunk by the MAL and other ganglionic periaortic tissue. Despite its rarity, this condition is significant from a clinical, diagnostic and management standpoint and it is usually a diagnosis of exclusion. A 61-year-old female with history of intermittent postprandial epigastric pain was diagnosed with MAL syndrome during CT scan imaging (no other causes of pain were identified). Patient successfully underwent robotic MAL release with symptoms improvement after surgery. The robotic approach is feasible and may allow a very precise and delicate dissection with release of the MAL.
正中弓状韧带（MAL）综合征是指腹腔干受到正中弓状韧带及其他主动脉周围神经节组织的压迫而出现症状。尽管此病罕见，但从临床、诊断及治疗角度来看都很重要，且通常是排除性诊断。一名61岁有间歇性餐后上腹部疼痛病史的女性在CT扫描成像时被诊断为MAL综合征（未发现其他疼痛原因）。患者成功接受了机器人辅助的正中弓状韧带松解术，术后症状改善。机器人手术方法可行，能够实现非常精确和精细的解剖并松解正中弓状韧带。
