Modern approaches to surgical treatment of extravascular compression of the celiac trunk syndrome (Dunbar)
Abstract
The article presents a clinical case of laparoscopic decompression of celiac trunk (СТ) in Dunbar
syndrome with the detailed discussion in the light of modern literature. In most cases, the diagnosis of syndrome of compression of the СТ is made by exclusion of other gastrointestinal diseas-
es. The main methods of diagnostics of Dunbar syndrome are: ultrasonic duplex scanning of the
abdominal aorta, multislice computed tomography and angiography with respiratory samples.
The authors offer methods of the original diagnostic and treatment algorithm of this disease. The
indication for surgical treatment is the ineffectiveness of conservative therapy, the preservation
of the leading symptoms of abdominal ischemia on the ground of proved critical compression of the СТ. Currently, laparoscopic decompression of СТ in Dunbar syndrome is the operation of
choice. The obvious advantages of laparoscopic surgery are less blood loss, a slight pain syndrome in the postoperative period, short hospital period and better cosmetic effect.
Keywords:Dunbar syndrome, compression of celiac trunk, laparoscopic method, endovascular surgery
Clin. Experiment. Surg. Petrovsky J. 2017; 5 (4): 18–29.
DOI: 10.24411/2308-1198-2017-00003
Received: 31.03.2017. Accepted: 10.10.2017.
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