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Updated: Jul 15, 2026
Robot Assisted Distal Pancreatectomy with Celiac Axis Resection (DP-CAR) for Pancreatic Cancer: Surgical Planning and Technique
Published on: August 14, 2021
Celiac artery compression syndrome: successful utilization of robotic-assisted laparoscopic approach
Nikhil P Jaik1, S Peter Stawicki, Natalie S Weger
1Department of Surgery, St. Luke's Hospital and Health Network, Bethlehem, PA, USA.
Abstract:
Median arcuate ligament (MAL) syndrome, also known as the celiac axis compression syndrome (CACS) is rare, and a topic of ongoing academic controversy. CACS is a diagnosis of exclusion, characterized by the clinical triad of postprandial abdominal pain, weight loss, and vomiting. The classic management of CACS involves the surgical division of the MAL fibers. We report successful treatment of a 23-year-old woman with CACS utilizing the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, California) via robotic-assisted minimally invasive surgical division of the MAL. To our knowledge this is the first report of this modality used in the treatment of the celiac axis compression syndrome.