Median arcuate ligament (Dunbar) syndrome: Laparoscopic management and clinical outcomes of a single centre

Basit Öğe Kaydı
dc.authorid0000-0002-9178-7843en_US
dc.authorid0000-0002-3161-0923en_US
dc.authorid0000-0002-6265-948Xen_US
dc.contributor.authorKafadar, Mehmet Tolga
dc.contributor.authorOğuz, Abdullah
dc.contributor.authorAday, Ulaş
dc.contributor.authorBilge, Hüseyin
dc.contributor.authorBaşol, Ömer
dc.date.accessioned2022-12-01T07:08:48Z
dc.date.available2022-12-01T07:08:48Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractBackground: Median arcuate ligament syndrome (MALS) is a condition characterised by chronic abdominal symptoms associated with median arcuate ligament (MAL) compression of the coeliac artery. Aim: In this observational study, we aimed to evaluate the outcomes of laparoscopic treatment in patients with MALS. Materials and Methods: The data of ten patients with MALS who were subjected to laparoscopic sectioning of the MAL were retrospectively reviewed. The following data were evaluated: age, gender, clinical and diagnostic test findings, American Society of Anaesthesiologists score, operative findings and complications and mortality, hospital stay duration and hospital readmission. The diagnosis of MALS was established by computed tomography (CT) angiography. Results: Six (60%) of ten patients with MALS were female and four (40%) were male. The mean age was 42.4 +/- 12.3. The main symptoms were epigastric pain (100%) and weight loss (60%). CT angiography showed high-grade stenosis of the anterior wall of the proximal coeliac trunk and post-stenotic dilation caused by extrinsic compression of the MAL. Surgical procedure was uneventful in all patients. Operating time was 155.5 min (120-200) and intra-operative blood loss was 150 ml (100-250). Length of stay was 3.1 day (2-9), with no mortality. The post-operative complications developed in two female patients. One of them developed ileus and the other patient developed pulmonary thromboembolism. At 6-month follow-up, all patients were asymptomatic. Conclusion: Laparoscopic decompression is an effective treatment for MALS and can provide symptomatic relief. This method may be the preferred modality of treatment in view of its lack of morbidity and good results.en_US
dc.identifier.citationKafadar, M.T., Oğuz, A., Aday, U., Bilge, H. ve Başol, Ö. (2021). Median arcuate ligament (Dunbar) syndrome: Laparoscopic management and clinical outcomes of a single centre. Journal of Minimal Access Surgery, 17(3), 363-368.en_US
dc.identifier.doi10.4103/jmas.JMAS_265_20en_US
dc.identifier.endpage368en_US
dc.identifier.issn0972-9941
dc.identifier.issn1998-3921
dc.identifier.issue3en_US
dc.identifier.pmid33885017en_US
dc.identifier.scopus2-s2.0-85109067181en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage363en_US
dc.identifier.urihttps://journals.lww.com/JMAS/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=ArticleDisplayControl&an=01413045-202117030-00014
dc.identifier.urihttps://hdl.handle.net/11468/10913
dc.identifier.volume17en_US
dc.identifier.wosWOS:000668175300014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKafadar, Mehmet Tolga
dc.institutionauthorOğuz, Abdullah
dc.institutionauthorAday, Ulaş
dc.institutionauthorBilge, Hüseyin
dc.institutionauthorBaşol, Ömer
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofJournal of Minimal Access Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopic treatmenten_US
dc.subjectMedian arcuate ligament syndromeen_US
dc.subjectOutcomesen_US
dc.titleMedian arcuate ligament (Dunbar) syndrome: Laparoscopic management and clinical outcomes of a single centreen_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Median_arcuate_ligament__Dunbar__syndrome_.14 (1).pdf
Boyut:
1.24 MB
Biçim:
Adobe Portable Document Format
Açıklama:
Makale Dosyası
İndir
Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

Cerrahi Tıp Bilimleri Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu