Management of Median Arcuate Ligament Compression in Patients Undergoing Pancreaticoduodenectomy: A Systematic Review and Consensus Statements
Accurate preoperative identification of CAS and deliberate surgical planning are essential when PD is anticipated. Intraoperative hemodynamic reassessment remains critical, with consideration of arterial reconstruction when MAL release alone fails to restore sufficient splanchnic perfusion.
Authors
- Toshiya Abe (ORCID: https://orcid.org/0000-0003-2148-4852)
- Noboru Ideno (ORCID: https://orcid.org/0000-0003-4745-8417)
- Y KITAGAWA
- Shunji Endo (ORCID: https://orcid.org/0000-0003-0720-4156)
- Masahiro Nakamura (ORCID: https://orcid.org/0000-0002-4363-069X)
- Katsuyuki Hoshina (ORCID: https://orcid.org/0000-0001-8526-968X)
- Akiko Umezawa
- Tomotaka UENO
- Hidenori Haruta (ORCID: https://orcid.org/0000-0002-1613-9723)
- Saya Chiba
- Masaharu Higashida
- Kenoki Ohuchida
- Naoki Ikenaga
- Yasunaru Sakuma
- Toshio Takayama
Institutions
- Kyushu University (JP)
- Jichi Medical University (JP)
- Kawasaki Medical School (JP)
- Tohoku University (JP)
- Keio University (JP)
- University of Tokyo Hospital (JP)
- Yotsuya Medical Cube (JP)
Publication Details
- Journal
- Asian Journal of Endoscopic Surgery
- Published
- 2026-01-01
- DOI
- https://doi.org/10.1111/ases.70206
- Primary Topic
- Abdominal vascular conditions and treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00