How to Deal with Median Arcuate Ligament during Pancreaticoduodenectomy? Management Strategies and Impact on Perioperative Outcomes.

Date publication

mai 2026

Journal

Annals of surgical oncology

Auteurs

Membres identifiés du Cancéropôle Est :
Pr AYAV Ahmet , Dr LECLERC Julie

Tous les auteurs :
Fernandez-de-Sevilla E, Collard MK, de la Rosa RV, Laroche S, Scoleri I, Boubaddi M, de Ponthaud C, Perinel J, Leclerc J, Bustamante R, Addeo P, Cherif R, Ayav A, Adham M, Gaujoux S, Laurent C, Truant S, Sa Cunha A, Sulpice L, Gelli M,

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/42177373

Résumé

Median arcuate ligament (MAL) can cause coeliac trunk (CT) stenosis, which is often asymptomatic but may lead to severe hepatic, splenic, or digestive ischemia following pancreaticoduodenectomy (PD). Optimal diagnosis and management remain debated. The purpose of this study was to evaluate management strategies and perioperative outcomes of patients with MAL undergoing PD.

Mots clés

Celiac artery stenosis, Median arcuate ligament, Multicenter study, Pancreaticoduodenectomy, Postoperative ischemia

Référence

Ann Surg Oncol. 2026 05 23;: