Severe bleeding after laparoscopic radical prostatectomy: successful management with transarterial embolization.
We present the first report of postoperative bleeding after laparoscopic radical prostatectomy (LRP) managed by transarterial embolization (TAE). A 54-year-old man underwent an uneventful LRP for clinical stage T(1c) prostate cancer. His blood pressure, however, was 83 over 55 mm Hg, and the hematocrit dropped to 20.4% from a baseline of 26.9% 5 hours postoperatively. Active bleeding from a capsular artery was diagnosed by CT angiography and managed by superselective embolization.
Park
Yong Hyun
YH
Department of Urology, Seoul National University Hospital, Seoul, Korea.
Lee
Jun Hyung
JH
Kim
Hyeon Hoe
HH
D000792:Angiography; D002404:Catheterization; D004621:Embolization, Therapeutic; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000628:therapy*; D011468:Prostatectomy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed