title: Robotic-assisted laparoscopic simple prostatectomy and bladder diverticulectomy with temporary clamping of internal iliac arteries.
abstract: The minimally invasive approach for benign prostatic hyperplasia (BPH) is replacing open surgery. Laparoscopic and robotic techniques have benefits in treatment of BPH especially for large prostatic adenoma. We present a case of laparoscopic robotic-assisted simple prostatectomy with bilateral transient occlusion of internal iliac arteries. This could be an optional surgical technique when a significant blood loss is expected, for example in patients with an estimated volume of BPH larger than 100 ml or in patients who cannot suspend antiaggregant therapy. In this case we temporarily occluded the internal iliac arteries bilaterally with Bulldog clamps and the adenoma was enucleated according to Sotelo's laparoscopic robotic-assisted technique. We had optimal results in terms of intraoperative and postoperative outcomes.
authors.affiliation: Department of Urology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Italy. f.sergi@unicampus.it.
authors.forename: F
authors.initials: F
authors.lastname: Sergi
authors.affiliation: Department of Urology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Falavolti
authors.affiliation: Department of Urology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Italy.
authors.forename: A M
authors.initials: AM
authors.lastname: Bove
authors.affiliation: Department of Urology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Buscarini
keywords: Benign prostatic hyperplasia; Robotic surgery; Robotic vascular control; Robotic-assisted laparoscopic simple prostatectomy