Laparoscopic repair of external iliac-artery transection during laparoscopic radical prostatectomy

Journal of Endourology
Khalid C SafiJens J Rassweiler

Abstract

Vascular injuries are the most common complication of pelvic lymph-node dissection. We report a case of total division of the external iliac artery and its immediate laparoscopic repair. A 70-year-old man with a prostatic adenocarcinoma (Gleason Score 6) and serum prostate specific antigen concentration of 20 ng/mL had inadvertent external iliac-artery transection during pelvic lymphnode dissection secondary to the abnormal course and anatomy of the artery. Immediate laparoscopic repair was accomplished with a two-needle single-knot technique as is routinely used for the vesicourethral anastomosis. Thereafter, laparoscopic radical prostatectomy was completed. The reconstruction time was 37 minutes. There was no significant blood loss. There were no further intraoperative complications. Postrepair, the femoral pulse was intact, and follow-up duplex color ultrasonography showed good flow. The patient was disharged home on day 7, ambulant and asymptomatic. In controlled cicumstances, laparoscopic repair of external iliac-artery transection is feasible and represents a safe alternative to open surgery.

References

Feb 1, 1993·The Journal of Urology·L R KavoussiW Schuessler
Mar 10, 2001·The Journal of Urology·T SautterF Recker
Apr 3, 2003·Urology·Roland F Van VelthovenRalph V Clayman
Dec 16, 2004·Journal of Endourology·J RassweilerT Frede

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Citations

Jun 25, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Octavio A CastilloPaulo Portalier
Nov 2, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L SalomonM Soulié
Apr 14, 2011·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·P ModiH Trivedi
Jun 20, 2020·Aktuelle Urologie·Friederike Haidl, Rouvier Al-Monajjed

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