{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T19:15:54Z","timestamp":1758309354558,"version":"3.44.0"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"8","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: Median arcuate ligament syndrome is a rare pathology where the median arcuate ligament causes compression on the celiac trunk. Different techniques are utilized in the treatment of median arcuate ligament syndrome, and studies on a standard laparoscopic technique are limited. The aim of this study is to evaluate the surgical and clinical outcomes of patients who underwent laparoscopic \"antegrade\" release of median arcuate ligament in a single tertiary center.  METHODS: This retrospective study includes nine adolescents\/young adults who underwent laparoscopy for median arcuate ligament syndrome between 2016 and 2024. All laparoscopic procedures were performed with an antegrade approach. The patients\u2019 demographic data, symptoms, radiologic imaging methods, operative technique, and postoperative outcomes were recorded.  RESULTS: There were seven female and two male patients in our series. The median age at diagnosis was 17 (range: 15\u201326) years. The most common symptoms were postprandial abdominal pain (n=9), nausea and vomiting (n=8), and weight loss (n=7). Doppler ultrasonography and\/or computed tomography angiography (n=9, 100%) were performed in all patients as preoperative diagnostic imaging. The mean operation time was 92 (range: 60\u2013110) min. The mean oral intake time was 1.2 (range: 1\u20133) days. The mean hospitalization time was 3 (range: 2\u20135) days. There was no conversion to laparotomy. One patient had a recurrence during follow-up and underwent a secondary intervention. The mean follow-up time was 62.6 (3\u201388) months.  CONCLUSION: Laparoscopic median arcuate ligament release with an antegrade approach is safe and feasible to perform and adequate in terms of symptom relief and celiac artery compression release in both adolescent and young adult groups.<\/jats:p>","DOI":"10.1590\/1806-9282.20250082","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T15:03:39Z","timestamp":1758294219000},"source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic median arcuate ligament release with an antegrade approach in adolescents and young adults: a single center experience"],"prefix":"10.1590","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4492-5262","authenticated-orcid":false,"given":"Kutay","family":"Bahadir","sequence":"first","affiliation":[{"name":"Akdeniz University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0364-6926","authenticated-orcid":false,"given":"Demet Sar\u0131demir","family":"\u00dcnal","sequence":"additional","affiliation":[{"name":"Akdeniz University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3720-3138","authenticated-orcid":false,"given":"Selin","family":"Ural","sequence":"additional","affiliation":[{"name":"Akdeniz University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7933-0349","authenticated-orcid":false,"given":"Yunus Emre","family":"Sac\u0131n","sequence":"additional","affiliation":[{"name":"Akdeniz University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1662-8586","authenticated-orcid":false,"given":"Ayse","family":"Keven","sequence":"additional","affiliation":[{"name":"Akdeniz University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7003-0876","authenticated-orcid":false,"given":"Gungor","family":"Karaguzel","sequence":"additional","affiliation":[{"name":"Akdeniz University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0588-1033","authenticated-orcid":false,"given":"Ayhan","family":"Mesci","sequence":"additional","affiliation":[{"name":"Akdeniz University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.ijscr.2018.10.006","article-title":"Laparoscopic treatment of median arcuate ligament syndrome in a 16-year-old male","volume":"52","author":"Fujiwara Y","year":"2018","journal-title":"Int J Surg Case Rep"},{"issue":"1","key":"ref2","article-title":"Treatment of median arcuate ligament syndrome: outcome of laparoscopic approach","volume":"33","author":"Coelho JCU","year":"2020","journal-title":"Arq Bras Cir Dig"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.avsg.2023.02.030","article-title":"Outcomes of median arcuate ligament release: a single \u0131nstitution retrospective review","volume":"94","author":"Chen AJ","year":"2023","journal-title":"Ann Vasc Surg"},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"e96","DOI":"10.1308\/rcsann.2015.0025","article-title":"Laparoscopic decompression as treatment for median arcuate ligament syndrome","volume":"97","author":"Rubinkiewicz M","year":"2015","journal-title":"Ann R Coll Surg Engl"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/SLE.0000000000001257","article-title":"Laparoscopic median arcuate ligament release: surgical technique and clinical outcomes","volume":"34","author":"Belluzzi A","year":"2024","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"issue":"11","key":"ref6","doi-asserted-by":"crossref","first-page":"4060","DOI":"10.1007\/s00464-013-3061-x","article-title":"Laparoscopic versus robot-assisted surgery for median arcuate ligament syndrome","volume":"27","author":"Do MV","year":"2013","journal-title":"Surg Endosc"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"48","DOI":"10.4103\/0971-9261.194624","article-title":"Laparoscopic treatment of median arcuate ligament syndrome: a rare cause of chronic severe abdominal pain","volume":"22","author":"Divarci E","year":"2017","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"4","key":"ref8","first-page":"539","article-title":"Safe laparoscopic surgery in median arcuate ligament syndrome","volume":"13","author":"Aday U","year":"2018","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"ref9","first-page":"3595603","article-title":"Laparoscopic release for median arcuate ligament compression syndrome associated with a celiac-mesenteric trunk","volume":"2022","author":"Cawich SO","year":"2022","journal-title":"Case Rep Vasc Med"},{"issue":"1-2","key":"ref10","doi-asserted-by":"crossref","first-page":"74","DOI":"10.2298\/SARH1502074K","article-title":"Surgical treatment of median arcuate ligament syndrome: case report and review of literature","volume":"143","author":"Kotara\u0107 M","year":"2015","journal-title":"Srp Arh Celok Lek"},{"issue":"6","key":"ref11","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1016\/j.ejvs.2022.08.033","article-title":"Systematic review of the efficacy of treatment for median arcuate ligament syndrome","volume":"64","author":"Metz FM","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"11","key":"ref12","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1089\/lap.2018.0204","article-title":"The laparoscopic management of median arcuate ligament syndrome and \u0131ts long-term outcomes","volume":"28","author":"De\u2019Ath HD","year":"2018","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"3","key":"ref13","doi-asserted-by":"crossref","first-page":"143","DOI":"10.3949\/ccjm.88a.21001","article-title":"Median arcuate ligament syndrome: a clinical dilemma","volume":"88","author":"Rodriguez JH","year":"2021","journal-title":"Cleve Clin J Med"},{"issue":"2","key":"ref14","doi-asserted-by":"crossref","first-page":"108","DOI":"10.5582\/irdr.2019.01031","article-title":"Laparoscopic treatment of median arcuate ligament syndrome","volume":"8","author":"Sun Z","year":"2019","journal-title":"Intractable Rare Dis Res"},{"issue":"6","key":"ref15","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.4240\/wjgs.v15.i6.1048","article-title":"Median arcuate ligament syndrome often poses a diagnostic challenge: a literature review with a scope of our own experience","volume":"15","author":"Giakoustidis A","year":"2023","journal-title":"World J Gastrointest Surg"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1089\/lap.2013.0438","article-title":"Pediatric median arcuate ligament syndrome: surgical outcomes and quality of life","volume":"24","author":"Joyce DD","year":"2014","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"139","DOI":"10.2147\/VHRM.S350841","article-title":"Laparoscopic surgery for median arcuate ligament syndrome (MALS): a prospective cohort of 52 patients","volume":"18","author":"Kazmi SSH","year":"2022","journal-title":"Vasc Health Risk Manag"},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.jvs.2012.04.057","article-title":"Open and laparoscopic treatment of median arcuate ligament syndrome","volume":"56","author":"Jimenez JC","year":"2012","journal-title":"J Vasc Surg"},{"issue":"9","key":"ref19","doi-asserted-by":"crossref","first-page":"4029","DOI":"10.1007\/s00464-018-6218-9","article-title":"Robotic-assisted laparoscopic median arcuate ligament release: 7-year experience from a single tertiary care center","volume":"32","author":"Khrucharoen U","year":"2018","journal-title":"Surg Endosc"},{"issue":"0","key":"ref20","doi-asserted-by":"crossref","first-page":"25","DOI":"10.5604\/01.3001.0015.4214","article-title":"Laparoscopic treatment of rare median arcuate ligament syndrome - medium-term follow-up","volume":"93","author":"Dowgia\u0142\u0142o-Gornowicz N","year":"2021","journal-title":"Pol Przegl Chir"},{"issue":"6","key":"ref21","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1097\/MPG.0000000000001900","article-title":"Psychological factors and outcomes in the surgical treatment of pediatric patients with median arcuate ligament syndrome","volume":"66","author":"Stiles-Shields C","year":"2018","journal-title":"J Pediatr Gastroenterol Nutr"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-42302025000800602&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T15:03:43Z","timestamp":1758294223000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302025000800602&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":21,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025]]}},"alternative-id":["S0104-42302025000800602"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.20250082","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"value":"1806-9282","type":"electronic"},{"value":"0104-4230","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20250082"}}