Laparoscopic repair of an iliac artery injury during radical cystoprostatectomy.
Laparoscopy has experienced significant growth in the last 5 years and became more popular among practicing urologists. Even though laparoscopy is considered a safe technique it is not free of complications, some of which can be devastating. Vascular injuries are the second most frequent complication during laparoscopic surgery with a reported incidence of 0.22% to 1.1%. With the standardization of surgical techniques and the increasing proficiency of the teams performing it, serious surgical complications may be corrected without the need for conversion. We report a case in which the right external iliac artery was injured while pelvic lymph node dissection was carried out before a planned laparoscopic radical cystoprostatectomy. The complication was successfully managed entirely by means of laparoscopy.
Castillo
Octavio A
OA
Section of Endourology and Laparoscopic Urology, Department of Urology, Clínica Santa Maria, Chile. octaviocastillo@vtr.net
Peacock
Lucas
L
Vitagliano
Gonzalo
G
Pinto
Ivan
I
Portalier
Paulo
P
D000328:Adult; D015653:Cystectomy / Q000009:adverse effects*; D006801:Humans; D007083:Iliac Artery / Q000293:injuries* / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects*; D016896:Treatment Outcome