Iatrogenic external iliac artery disruption during open pelvic lymph node dissection: successful repair with hypogastric artery transposition.
We report the first case of a wide, iatrogenic, proximal disruption of the right external iliac artery, occurring during staging open lymph node dissection for prostate cancer, which was repaired by hypogastric artery transposition. The hypogastric artery was mobilized and rotated anteriorly, and sutured to the distal segment of the external iliac artery. This is a feasible, innovative and safe technique which permits, by a single anastomosis, the secure reconstruction of a vascular axis to the leg when other procedures are not accessible.
Lazzeri
M
M
Department of Urology, University of Ferrara, Italy.
Benaim
G
G
Turini
D
D
Beneforti
P
P
Turini
F
F
D001158:Arteries / Q000637:transplantation*; D001706:Biopsy; D006801:Humans; D007049:Iatrogenic Disease; D007083:Iliac Artery / Q000293:injuries* / Q000601:surgery; D007431:Intraoperative Complications / Q000601:surgery*; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*