{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T13:07:45Z","timestamp":1772716065274,"version":"3.50.1"},"reference-count":19,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>In clinical practice, the coexistence of Superior Mesenteric Artery (SMA) syndrome (also known as Wilkie\u2019s syndrome) and Celiac Artery Compression Syndrome (also referred to as Dunbar\u2019s syndrome) is extremely rare. This combined pathology is characterized by simultaneous impairment of blood flow in the celiac trunk and compression of the duodenum, which complicates both diagnosis and treatment strategy selection. Traditional open surgical correction is associated with significant invasiveness due to the complexity of the anatomical relationships involved. Minimally invasive approaches, including robot-assisted surgery, allow precise dissection within confined anatomical spaces. This article presents a clinical case of simultaneous robot-assisted decompression of the celiac trunk and duodenum using the da Vinci Xi system. The case demonstrates the technical feasibility of a combined minimally invasive approach for the management of concurrent vascular and duodenal compression.<\/jats:p>","DOI":"10.3390\/life16030425","type":"journal-article","created":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T11:52:11Z","timestamp":1772711531000},"page":"425","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Surgery in the Treatment of Combined Wilkie\u2019s and Dunbar\u2019s Syndromes: A Case Report"],"prefix":"10.3390","volume":"16","author":[{"given":"Vladimir A.","family":"Porhanov","sequence":"first","affiliation":[{"name":"Scientific Research Institute\u2013Ochapovsky Regional Clinical Hospital #1, Krasnodar, 167, 1st May Str., 350086 Krasnodar, Russia"},{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman A.","family":"Vinogradov","sequence":"additional","affiliation":[{"name":"Scientific Research Institute\u2013Ochapovsky Regional Clinical Hospital #1, Krasnodar, 167, 1st May Str., 350086 Krasnodar, Russia"},{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4859-1888","authenticated-orcid":false,"given":"Aslan B.","family":"Zakeryaev","sequence":"additional","affiliation":[{"name":"Scientific Research Institute\u2013Ochapovsky Regional Clinical Hospital #1, Krasnodar, 167, 1st May Str., 350086 Krasnodar, Russia"},{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khabib A.","family":"Kurbanov","sequence":"additional","affiliation":[{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4143-1491","authenticated-orcid":false,"given":"Tarlan E.","family":"Bakhishev","sequence":"additional","affiliation":[{"name":"Scientific Research Institute\u2013Ochapovsky Regional Clinical Hospital #1, Krasnodar, 167, 1st May Str., 350086 Krasnodar, Russia"},{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7182-179X","authenticated-orcid":false,"given":"Marina R.","family":"Pchegatluk","sequence":"additional","affiliation":[{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5866-506X","authenticated-orcid":false,"given":"Alim M.","family":"Namitokov","sequence":"additional","affiliation":[{"name":"Scientific Research Institute\u2013Ochapovsky Regional Clinical Hospital #1, Krasnodar, 167, 1st May Str., 350086 Krasnodar, Russia"},{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amirlan A.","family":"Sozaev","sequence":"additional","affiliation":[{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia V.","family":"Erastova","sequence":"additional","affiliation":[{"name":"Kuban State Medical University, Krasnodar, 4, Sedina Street, 350086 Krasnodar, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3369","DOI":"10.12998\/wjcc.v11.i15.3369","article-title":"Superior mesenteric artery syndrome: Diagnosis and management","volume":"11","author":"Oka","year":"2023","journal-title":"World J. Clin. Cases."},{"key":"ref_2","first-page":"e24251","article-title":"Surgical treatment of Wilkie\u2019s syndrome by vascular transposition","volume":"14","author":"Ali","year":"2022","journal-title":"Cureus"},{"key":"ref_3","first-page":"e20413","article-title":"Wilkie\u2019s syndrome: An unexpected finding","volume":"13","author":"Claro","year":"2021","journal-title":"Cureus"},{"key":"ref_4","first-page":"e46675","article-title":"Overview of median arcuate ligament syndrome: A narrative review","volume":"15","author":"Upshaw","year":"2023","journal-title":"Cureus"},{"key":"ref_5","unstructured":"Saleem, T., Katta, S., and Baril, D.T. (2023). Celiac artery compression syndrome. StatPearls [Internet], StatPearls Publishing."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1001\/jamasurg.2014.1409","article-title":"Laparoscopic management of duodenal obstruction resulting from superior mesenteric artery syndrome","volume":"149","author":"Pottorf","year":"2014","journal-title":"JAMA Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e176","DOI":"10.1177\/000313481608200719","article-title":"Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome","volume":"82","author":"Fredericks","year":"2016","journal-title":"Am. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2029","DOI":"10.1007\/s00464-020-07598-1","article-title":"SMA syndrome: Management perspective with laparoscopic duodenojejunostomy and long-term results","volume":"35","author":"Jain","year":"2021","journal-title":"Surg. Endosc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/j.jpedsurg.2017.07.004","article-title":"Laparoscopic Ladd\u2019s procedure as treatment alternative when parenteral or prolonged hospital nutrition is not an option for superior mesenteric artery syndrome","volume":"55","author":"Bing","year":"2020","journal-title":"J. Pediatr. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1097\/00000658-195811000-00001","article-title":"Mechanics of arteriomesenteric duodenal obstruction and direct surgical attack upon etiology","volume":"148","author":"Strong","year":"1958","journal-title":"Ann. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s00423-023-02803-w","article-title":"Surgical therapy of celiac axis and superior mesenteric artery syndrome","volume":"408","author":"Jonas","year":"2023","journal-title":"Langenbecks Arch. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.21037\/cdt-20-846","article-title":"Median arcuate ligament syndrome (Dunbar syndrome)","volume":"11","author":"Iqbal","year":"2021","journal-title":"Cardiovasc. Diagn. Ther."},{"key":"ref_13","first-page":"e20230030","article-title":"Dunbar syndrome: Case report","volume":"22","author":"Pessoa","year":"2023","journal-title":"J. Vasc. Bras."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"550","DOI":"10.17116\/kardio202316051550","article-title":"Transposition of superior mesenteric artery in arteriomesenteric obstruction of the duodenum (Wilkie syndrome)","volume":"16","author":"Khamitov","year":"2023","journal-title":"Russ. J. Cardiol. Cardiovasc. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"106925","DOI":"10.1016\/j.ijscr.2022.106925","article-title":"Laparoscopic treatment of symptomatic Dunbar syndrome: A case report","volume":"93","author":"Sergi","year":"2022","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Abenavoli, L., Imoletti, F., Quero, G., Bottino, V., Facciolo, V., Scarlata, G.G.M., Luzza, F., and Lagan\u00e0, D. (2024). The diagnosis of Wilkie\u2019s syndrome associated with Nutcracker syndrome: A case report and literature review. Diagnostics, 14.","DOI":"10.20944\/preprints202406.0919.v1"},{"key":"ref_17","first-page":"130","article-title":"Application of robotics in vascular surgery: Literature review","volume":"29","author":"Zakeryaev","year":"2023","journal-title":"Angiol. Sosud. Khir."},{"key":"ref_18","unstructured":"Porkhanov, V.A., Vinogradov, R.A., Zakeryaev, A.B., Bakhishev, T.E., Butaev, S.R., Khangereev, G.A., Ignatenko, D.A., Sozaev, A.A., Medvedev, V.L., and Baryshev, A.G. (2024). Atlas of Robot-Assisted Vascular Surgery, Presfactor. (In Russian)."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"547","DOI":"10.17116\/kardio202518051547","article-title":"Robot-assisted treatment of visceral artery aneurysms","volume":"18","author":"Khangereev","year":"2025","journal-title":"Russ. J. Cardiol. Cardiovasc. 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