Magnus Louis, Chakfé Nabil, Lejay Anne, Thaveau Fabien
Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France.
Department of Vascular and Endovascular Surgery, Gabriel Montpied Hospital, Clermont-Ferrand, France.
EJVES Vasc Forum. 2022 Jul 5;56:32-36. doi: 10.1016/j.ejvsvf.2022.06.002. eCollection 2022.
To evaluate the outcomes of robot assisted laparoscopic surgery for median arcuate ligament syndrome (MALS) relief.
This was a single centre and retrospective study, including all consecutive patients with symptomatic MALS treated with robot assisted laparoscopic surgery. Symptom relief and quality of life (QoL) were evaluated post-operatively. A comparison between the peak systolic velocity (PSV) of the coeliac artery (CA) measured pre-operatively and post-operatively was carried out.
Nine interventions were performed. No conversion to laparotomy was required. There was post-operative abdominal pain relief in eight patients and QoL was improved in seven patients. Post-operatively, the CA PSV decreased (175 (IQR 160 - 195) cm/s 365 (IQR 350 - 419) cm/s; < .001).
MALS relief with robot assisted laparoscopy is safe and provides satisfactory outcomes in terms of symptom relief and CA compression release.
评估机器人辅助腹腔镜手术缓解正中弓状韧带综合征（MALS）的效果。
这是一项单中心回顾性研究，纳入所有接受机器人辅助腹腔镜手术治疗的有症状MALS连续患者。术后评估症状缓解情况和生活质量（QoL）。对术前和术后测量的腹腔干（CA）收缩期峰值流速（PSV）进行比较。
共进行了9例手术。无需转为开腹手术。8例患者术后腹痛缓解，7例患者生活质量改善。术后，CA的PSV下降（175（四分位间距160 - 195）cm/s对365（四分位间距350 - 419）cm/s；P <.001）。
机器人辅助腹腔镜手术缓解MALS是安全的，在症状缓解和CA压迫解除方面提供了满意的效果。
