Laparoscopic coeliac axis decompression for Dunbar syndrome: a step-by-step technical note.
Alessia Dessì, Mauro Podda, Raimondo Sanna et al.
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From the abstract
Median arcuate ligament syndrome is a rare cause of chronic postprandial abdominal pain due to extrinsic compression of the coeliac trunk. Surgical decompression remains the mainstay of treatment.
Reported results
Operative time was 90 min. The postoperative course was uneventful. The patient reported complete symptom resolution and tolerated a solid diet from the second postoperative day. She was discharged home on postoperative day four. Two-week CT angiography showed restoration of coeliac trunk calibre, with no residual stenosis or extrinsic compression.
Authors' conclusions
Laparoscopic coeliac axis decompression is a safe and feasible option in patients with Dunbar syndrome. Magnified exposure may facilitate safe dissection and complete release. Clinical follow-up should combine objective vascular imaging with assessment of functional outcomes and quality of life.