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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2022; 14(9): 976-985
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.976
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.976
Feasible management of median arcuate ligament syndrome in orthotopic liver transplantation recipients
Shu-Xuan Li, Guang-Yao Tian, Guo-Yue Lv, Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Ye-Hui Fan, Department of The First Operation Room, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Li SX and Fan YH contributed equally to this work; Li SX wrote the original draft of the manuscript; Fan YH was responsible for the revision and editing of the manuscript; Tian GY was responsible for data curation and software; LV GY was responsible for supervision and methodology; All authors issued final approval for the version submitted.
Supported by the Science and Technology Department of Jilin Province , No. 20190101002JH .
Institutional review board statement: This research was approved by the Ethical Committee of First Hospital of Jilin University.
Informed consent statement: The patients provided informed written consent.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose.
Data sharing statement: Dataset is available from the corresponding author at lvgy@jlu.edu.cn . Participants gave informed consent for data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guo-Yue Lv, PhD, Dean, Professor, Surgeon, Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun 130021, Jilin Province, China. lvgy@jlu.edu.cn
Received: June 6, 2022
Peer-review started: June 6, 2022
First decision: July 12, 2022
Revised: July 22, 2022
Accepted: August 25, 2022
Article in press: August 25, 2022
Published online: September 27, 2022
Peer-review started: June 6, 2022
First decision: July 12, 2022
Revised: July 22, 2022
Accepted: August 25, 2022
Article in press: August 25, 2022
Published online: September 27, 2022
Core Tip
Core Tip: This retrospective single-center study analyzed diagnosis, surgical procedure and outcome of 8 patients with median arcuate ligament syndrome (MALS). In eight patients with MALS, orthotopic liver transplantation without median arcuate ligament (MAL) division and celiac trunk-aorta bypass ensured adequate hepatic arterial blood flow. No new onset hepatic arterial thrombosis was observed. The study suggests that without intraoperative MAL release, one cannot ensure adequate hepatic artery flow and prevent hepatic arterial thrombosis.