Possibilities of Laparoscopic Decompression of Celiac Trunk in the Treatment of Dunbar Syndrome

Abstract


Presented clinical case laparoscopic decompression of celiac trunk syndrome of Dunbar. In most cases, the diagnosis of syndrome of compression of the celiac trunk is by exclusion of other gastrointestinal diseases. Sure, it tells about lack of awareness among the medical community about this specific and rare pathology, as well as a possible skeptical attitude towards it related professionals. The main methods of diagnostics of a syndrome of Dunbar are: ultrasonic duplex scanning of the abdominal aorta, multislice computed tomography and angiography with a respiratory samples. The indication for surgical treatment is the ineffectiveness of conservative therapy, the preservation of the leading symptoms of abdominal ischemia on the ground proved critical in compression of the celiac trunk. Currently, laparoscopic decompression of celiac trunk syndrome Dunbar is the operation of choice. The obvious advantages of laparoscopic surgery are less blood loss, a slight pain syndrome in the postoperative period, short hospital period and better cosmetic effect. In the clinic, where surgeons proficient in the technique of laparoscopic procedures, the surgery can be performed quickly, safely, and efficiently. Additional intervention in the form of endovascular correction is not required in all patients and can be performed in a delayed order.


Yury Viktorovich Ivanov

Author for correspondence.
mail@vestnik-surgery.com
Federal scientific and clinical center of specialized types of medical care and medical technologies, A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation, 28 Orekhovy boulevard, Moscow, 115682, Russian Federation 20 Delegatskaya str., Moscow, 127473, Russian Federation

MD, the head of the surgery Department, Prof. of the Department of endoscopic surgery

Andrey Valeryevich Chupin

mail@vestnik-surgery.com
Federal scientific and clinical center of specialized types of medical care and medical technologies
Russian Federation, 28 Orekhovy boulevard, Moscow, 115682, Russian Federation

MD, the head of the vascular surgery

Dmitry Nikolaevich Panchenkov

mail@vestnik-surgery.com
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation, 20 Delegatskaya str., Moscow, 127473, Russian Federation

MD , the head of the laboratory of minimally invasive surgery, The Prof. of the Department of endoscopic surgery

Pavel Yuryevich Orekhov

mail@vestnik-surgery.com
Federal scientific and clinical center of specialized types of medical care and medical technologies
Russian Federation, 28 Orekhovy boulevard, Moscow, 115682, Russian Federation

PhD, cardiovascular surgeon of the vascular surgery

Aleksey Alekseevich Terehin

mail@vestnik-surgery.com
Federal scientific and clinical center of specialized types of medical care and medical technologies
Russian Federation, 28 Orekhovy boulevard, Moscow, 115682, Russian Federation

PhD, a surgeon of the General surgery

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