Possibilities of Laparoscopic Decompression of Celiac Trunk in the Treatment of Dunbar Syndrome
- Authors: Ivanov Y.V.1, Chupin A.V.2, Panchenkov D.N.3, Orekhov P.Y.2, Terehin A.A.2
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Affiliations:
- Federal scientific and clinical center of specialized types of medical care and medical technologies, A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Federal scientific and clinical center of specialized types of medical care and medical technologies
- A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Issue: Vol 10, No 2 (2017)
- Pages: 90-95
- Section: Original articles
- URL: https://vestnik-surgery.com/journal/article/view/1057
- DOI: https://doi.org/10.18499/2070-478X-2017-10-2-90-95
- ID: 1057
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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.
About the authors
Yury Viktorovich Ivanov
Federal scientific and clinical center of specialized types of medical care and medical technologies, A.I. Evdokimov Moscow State University of Medicine and Dentistry
Author for correspondence.
Email: mail@vestnik-surgery.com
MD, the head of the surgery Department, Prof. of the Department of endoscopic surgery
Russian Federation, 28 Orekhovy boulevard, Moscow, 115682, Russian Federation 20 Delegatskaya str., Moscow, 127473, Russian FederationAndrey Valeryevich Chupin
Federal scientific and clinical center of specialized types of medical care and medical technologies
Email: mail@vestnik-surgery.com
MD, the head of the vascular surgery
Russian Federation, 28 Orekhovy boulevard, Moscow, 115682, Russian FederationDmitry Nikolaevich Panchenkov
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Email: mail@vestnik-surgery.com
MD , the head of the laboratory of minimally invasive surgery, The Prof. of the Department of endoscopic surgery
Russian Federation, 20 Delegatskaya str., Moscow, 127473, Russian FederationPavel Yuryevich Orekhov
Federal scientific and clinical center of specialized types of medical care and medical technologies
Email: mail@vestnik-surgery.com
PhD, cardiovascular surgeon of the vascular surgery
Russian Federation, 28 Orekhovy boulevard, Moscow, 115682, Russian FederationAleksey Alekseevich Terehin
Federal scientific and clinical center of specialized types of medical care and medical technologies
Email: mail@vestnik-surgery.com
PhD, a surgeon of the General surgery
Russian Federation, 28 Orekhovy boulevard, Moscow, 115682, Russian FederationReferences
- Baccari Р., Civilini Е., Dordoni L. et al. Celiac artery compression syndrome managed by Laparoscopy. J. Vasc. Surg. – 2009; 50: 134-139.
- Cienfuegos J., Rotellar F., Valentí V. et al. The celiac axis compression syndrome (CACS): critical review in the laparoscopic era. Rev. Esp. Enferm. Dig. – 2010; 102: 193-201.
- Delis K.T., Gloviczki P., Altuwaijri M., McKusik M.A. Median arcuate ligament syndrome: open celiac artery reconstruction and ligament division after endovascular failure. J. Vasc. Surg. – 2007; 46: 799–802.
- Dunbar J.D., Molnar W., Beman F.F., Marable S.A. Compression of the celiac trunk and abdominal angina. Am. J. Roentgenol. Radium. Ther. Nucl. Med. – 1965; 95: 731-744.
- El-Hayek К.М., Titus J., Bui А., Mastracci Т., Kroh J.М. Laparoscopic Median Arcuate Ligament Release: Are We Improving Symptoms? Am. Coll. Surg. – 2013; 216: 272-279.
- Ghosn P.B., Rabbat A.G., Trudel J. et al. Celiac compression syndrome. Can. J. Surg. – 1982; 25: 377-379.
- Jimenez J.C., Harlander-Locke М., Dutson Е.Р. Open and laparoscopic treatment of median arcuate ligament syndrome. J. Vasc. Surg. – 2012; 56: 869-873.
- Liberoa L., Varricchiob А., Tartagliaa Е. et al. Laparoscopic treatment of celiac axis compression syndrome(CACS) and hiatal hernia: Case report with bleeding complicationsand review. International J. Surg. – 2013; 4: 882– 885 (journal home page: www.casereports.com).
- Lindner H., Kemprud E. A. clinicoanatomical study of the arcuate ligament of the diaphragm. Arch. Surg. – 1971; 103: 600-605.
- Nikhil P., Jaik S,. Stawicki Р., Weger N.S., Lukaszczyk J.J. Celiac Artery Compression Syndrome: Successful Utilization of Robotic-Assisted Laparoscopic Approach. J. Gastrointestin Liver Dis. – 2007; 16(1): 93-96.
- Norton K.M., Talamini M.A., Fishman E.K. Median arcuate ligament syndrome: evaluation with CT angiography. Radio Graphics. – 2005; 25: 1177-1182.
- Park C.M., Chung J.W., Kim H.B., et al. Celiac axis stenosis: incidence and etiologies in asymptomatic individuals. Korean J. Radiol. – 2001; 2: 8-13.
- Roayaie S., Jossart G., Gitlitz D. et al. Laparoscopic release of celiac artery compression syndrome facilitated by laparoscopic ultrasound scanning to confirm restoration of flow. J. Vasc. Surg. – 2000; 32: 814-817.
- Tulloch A.W., Jimenez J.C., Peter F. et al. Laparoscopic versus open celiac ganglionectomy in patients with median arcuate ligament syndrome. J. Vasc. Surg. – 2010; 52: 1283-1289.
- Watson W.C., Sadikali F. Celiac axis compression – experience with 20 patients and a critical appraisal of syndrome. Ann. Intern. Med. – 1977; 86: 278-284.