External iliac arterial dissection after robot-assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection

被引：0

作者：

Nakashima, Syunsuke ^{[1
]}

Hata, Shinro ^{[1
]}

Shinohara, Mayuka ^{[1
]}

Ando, Tadasuke ^{[1
]}

Shin, Toshitaka ^{[1
]}

Mimata, Hiromitsu ^{[1
]}

机构：

[1] Oita Univ, Fac Med, Dept Urol, 1-1 Idaigaoka,Hasama Machi, Yufu, Oita 8795593, Japan

来源：

IJU CASE REPORTS | 2023年 / 6卷 / 06期

关键词：

arterial dissection; complication; extended pelvic lymphadenectomy; percutaneous thrombectomy; robotic surgery; stent placement; COMPLICATIONS;

D O I：

10.1002/iju5.12650

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

IntroductionExternal iliac arterial dissection after robot-assisted laparoscopic procedures is an extremely rare complication. It may cause severe adverse outcomes, such as lower limb necrosis.Case presentationA 73-year-old man was diagnosed with cT2 <= N0M0 bladder cancer and underwent robot-assisted radical cystectomy. After surgery, he complained of severe left lower leg pain. Computed tomography showed external iliac arterial occlusion. Furthermore, the emergency operation revealed external iliac arterial dissection and occlusion.ConclusionThe robot arm does not have any sense of force or touch. Thus, it is necessary to pay sufficient attention to the traction of blood vessels and contact with major organs.

引用

页码：468 / 470

页数：3

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