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Robotic-assisted simple prostatectomy with clamping of bilateral hypogastric arteries

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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.

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References

  1. 1.

    Sotelo R, Clavijo R, Carmona O et al (2008) Robotic simple prostatectomy. J Urol 179:513–515

  2. 2.

    Sergi F, Falavolti C, Bove AM, Buscarini M (2013) Robotic-assisted laparoscopic simple prostatectomy and bladder diverticulectomy with temporary clamping of internal iliac arteries. J Robotic Surg. doi:10.1007/s11701-012-0390-z

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Conflict of interest

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Author information

Correspondence to Federico Sergi.

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Sergi, F., Falavolti, C., Bove, A.M. et al. Robotic-assisted simple prostatectomy with clamping of bilateral hypogastric arteries. J Robotic Surg 7, 309–310 (2013) doi:10.1007/s11701-013-0421-4

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Keywords

  • Robotic-assisted simple prostatectomy
  • Hypogastric arteries clamping
  • Early vascular control
  • Minimally invasive surgery
  • Bleeding