{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T13:07:58Z","timestamp":1759496878121,"version":"3.37.3"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The median arcuate ligament syndrome (MALS) is a disease in which the celiac artery is compressed by the arcuate ligament and causes stenosis. If abdominal pain or an aneurysm is observed in the head of the pancreas, it is necessary to release the arcuate ligament, and recently laparoscopic surgery has been reported. However, the indication for treatment in asymptomatic cases is unknown. The treatment for asymptomatic MALS in patients with gastric cancer who are indicated for surgery is also novel.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 70-year-old female was found with early gastric cancer in the middle body of the stomach. An enhanced CT scan showed no metastasis, but a gallstone and stenosis of the celiac artery due to the MALS were found. The patient underwent releasing median arcuate ligament after lymph node dissection. A median arcuate ligament was located on the ventral side of the left gastric artery stump, and the celiac artery was exposed when cutting it off. The operation time was 4\u00a0h and 59\u00a0min, and the bleeding was 6\u00a0ml. It took about 5\u00a0min to dissect the medial arcuate ligament. The postoperative course was satisfactory, and the patient was discharged 7\u00a0days after the operation. CT scan and 3-D CT angiography were performed about 2\u00a0months after the operation, and the findings revealed that the celiac artery's stenosis resolved.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The patient underwent laparoscopic gastrectomy and simultaneously the median arcuate ligament release under an excellent visual field. Therefore, median arcuate ligament release may be considered if MALS is found in a gastrectomy case.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-022-01517-3","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T09:02:58Z","timestamp":1660813378000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A case of laparoscopic distal gastrectomy and median arcuate ligament release for a gastric cancer patient with median arcuate ligament syndrome"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6147-7505","authenticated-orcid":false,"given":"Sho","family":"Ueda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Nishitani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tada","family":"Seiichiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Kawamorita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoyasu","family":"Takayanagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiki","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosuke","family":"Hashimoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Yonezawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,18]]},"reference":[{"key":"1517_CR1","first-page":"547","volume":"52","author":"PT Harjola","year":"1963","unstructured":"Harjola PT. A rare obstruction of the coeliac artery. Report of a case. Ann Chir Gynaecol Feen. 1963;52:547\u201350.","journal-title":"Ann Chir Gynaecol Feen"},{"key":"1517_CR2","doi-asserted-by":"publisher","first-page":"731","DOI":"10.2214\/ajr.95.3.731","volume":"95","author":"JD Dunbar","year":"1965","unstructured":"Dunbar JD, Molnar W, Beman FF, Marable SA. Compression of the celiac trunk and abdominal angina. Am J Roentgenol Radium Ther Nucl Med. 1965;95:731\u201344.","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"key":"1517_CR3","doi-asserted-by":"publisher","first-page":"814","DOI":"10.1067\/mva.2000.107574","volume":"32","author":"S Roayaie","year":"2000","unstructured":"Roayaie S, Jossart G, Gitlitz D, Lamparello P, Hollier L, Gagner M. Laparoscopic release of celiac artery compression syndrome facilitated by laparoscopic ultrasound scanning to confirm restoration of flow. J Vasc Surg. 2000;32:814\u20137.","journal-title":"J Vasc Surg"},{"key":"1517_CR4","first-page":"474","volume":"38","author":"EM San Norberto","year":"2019","unstructured":"San Norberto EM, Romero A, Fidalgo-Domingos LA, Garc\u00eda-Saiz I, Taylor J, Vaquero C. Laparoscopic treatment of median arcuate ligament syndrome: a systematic review. Int Angiol. 2019;38:474\u201383.","journal-title":"Int Angiol"},{"key":"1517_CR5","first-page":"93","volume":"16","author":"NP Jaik","year":"2007","unstructured":"Jaik NP, Stawicki SP, Weger NS, Lukaszczyk JJ. Celiac artery compression syndrome: successful utilization of robotic-assisted laparoscopic approach. J Gastrointestin Liver Dis. 2007;16:93\u20136.","journal-title":"J Gastrointestin Liver Dis"},{"key":"1517_CR6","first-page":"4060","volume":"27","author":"MV Do","year":"2013","unstructured":"Do MV, Smith TA, Bazan HA, Sternbergh WC, Abbas AE, Richardson WS. Laparoscopic versus robot-assisted surgery for median arcuate ligament syndrome. SurgEndosc. 2013;27:4060\u20136.","journal-title":"SurgEndosc"},{"key":"1517_CR7","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1016\/j.jvs.2012.02.057","volume":"56","author":"D Relles","year":"2012","unstructured":"Relles D, Moudgill N, Rao A, Rosato F, DiMuzio P, Eisenberg J. Robotic-assisted median arcuate ligament release. J Vasc Surg. 2012;56:500\u20133.","journal-title":"J Vasc Surg"},{"key":"1517_CR8","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1111\/ases.12650","volume":"12","author":"Y Asaumi","year":"2019","unstructured":"Asaumi Y, Sakatoku M, Okamoto J, Hayashi S, Ota N, Yoshida K, et al. Laparoscopic decompression of a stricture of the celiac artery caused by the median arcuate ligament in a gastric cancer patient: a case of report. Asian J Endosc Surg. 2019;12:315\u20137.","journal-title":"Asian J Endosc Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01517-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-022-01517-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01517-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T09:06:32Z","timestamp":1660813592000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-022-01517-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,18]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["1517"],"URL":"https:\/\/doi.org\/10.1186\/s40792-022-01517-3","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2022,8,18]]},"assertion":[{"value":"23 June 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declares that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"158"}}