Robotic Strong's procedure for the treatment of superior mesenteric artery syndrome. Description of surgical technique on occasion of the first reported case in the literature

Abstract

BACKROUND: Superior Mesenteric Artery Syndrome (SMAS) is a rare disorder caused by compression of the third portion of the duodenum by the SMA. Once a conservative approach fails, usual surgical strategies include Duodenojejunostomy and Strong's procedure. The latter avoids potential anastomotic risks and complications. Robotic Strong's procedure (RSP) combines both the benefits of a minimal invasive approach and also enchased robotic accuracy and efficacy. METHODS: For a young girl who was unsuccessfully treated conservatively, the paper describes the RSP surgical technique. To the authors' knowledge, this is the first report in the literature. RESULTS: Minimal blood loss, short operative time, short hospital stay and early recovery were the short-term benefits. Significant weight gain was achieved three months after the surgery. CONCLUSION: Based on primary experience, it is suggested that RSP is a very effective alternative in treating SMAS.