title: Robotic-assisted simple prostatectomy with clamping of bilateral hypogastric arteries.
abstract: To present a case of laparoscopic robotic-assisted simple prostatectomy with temporary clamping of the bilateral hypogastric arteries. A 74-year-old patient with large prostatic adenoma (> 80 ml) underwent robotic-assisted laparoscopic transvesical adenoma enucleation according to Sotelo's technique. The hypogastric arteries were isolated just below the ureteral cross with the iliac vessels and bilaterally occluded for 12 minutes during enucleation of the adenoma. The patient's pain was mild after surgery and he required short-term analgesics and antibiotic prophylaxis. Blood loss was 80 ml. The transient occlusion of the internal iliac arteries is a proven maneuver to reduce bleeding during pelvic surgery. We propose the temporary clamping of the bilateral internal iliac arteries as a safe and rapid surgical maneuver to reduce the intraoperative risk of bleeding, especially when performing first procedures.
authors.affiliation: Campus Bio-Medico University of Rome, Rome, Italy. f.sergi@unicampus.it.
authors.forename: Federico
authors.initials: F
authors.lastname: Sergi
authors.affiliation: Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Cristina
authors.initials: C
authors.lastname: Falavolti
authors.affiliation: Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Alfredo Maria
authors.initials: AM
authors.lastname: Bove
authors.affiliation: Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Elia
authors.initials: E
authors.lastname: Luperto
authors.affiliation: Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Altobelli
authors.affiliation: Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Buscarini
keywords: Bleeding; Early vascular control; Hypogastric arteries clamping; Minimally invasive surgery; Robotic-assisted simple prostatectomy