Khoi Le, MD, FACS’ Post

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Medical Director Robotic and Minimally Invasive Surgery

Median Arcuate Ligament Syndrome. A difficult diagnosis to make, but must be top of mind for physicians with patients who have vague upper abdominal pain after eating. The median arcuate ligament of the diaphragm compresses the celiac trunk near its root, essentially leading to demand ischemia of foregut structures during meals. Mesenteric doppler studies and/or mesenteric CT Angiography, both done at the end-expiratory phase of breathing, can help elucidate this anatomic abnormality. #RoboticSurgery for this pathology is an ideal approach, given the level of dexterity, visualization, camera stabilization, and fluorescence technology all within a single surgical device.

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