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

INTRODUCTION: External 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 PRESENTATION: A 73‐year‐old man was diagnosed with cT2 ≤ N0M0 bladder cancer and underwent robot‐as...

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Autores principales: Nakashima, Syunsuke, Hata, Shinro, Shinohara, Mayuka, Ando, Tadasuke, Shin, Toshitaka, Mimata, Hiromitsu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622215/
https://www.ncbi.nlm.nih.gov/pubmed/37928311
http://dx.doi.org/10.1002/iju5.12650
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author Nakashima, Syunsuke
Hata, Shinro
Shinohara, Mayuka
Ando, Tadasuke
Shin, Toshitaka
Mimata, Hiromitsu
author_facet Nakashima, Syunsuke
Hata, Shinro
Shinohara, Mayuka
Ando, Tadasuke
Shin, Toshitaka
Mimata, Hiromitsu
author_sort Nakashima, Syunsuke
collection PubMed
description INTRODUCTION: External 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 PRESENTATION: A 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. CONCLUSION: The 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.
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spelling pubmed-106222152023-11-03 External iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection Nakashima, Syunsuke Hata, Shinro Shinohara, Mayuka Ando, Tadasuke Shin, Toshitaka Mimata, Hiromitsu IJU Case Rep Case Reports INTRODUCTION: External 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 PRESENTATION: A 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. CONCLUSION: The 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. John Wiley and Sons Inc. 2023-10-04 /pmc/articles/PMC10622215/ /pubmed/37928311 http://dx.doi.org/10.1002/iju5.12650 Text en © 2023 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Nakashima, Syunsuke
Hata, Shinro
Shinohara, Mayuka
Ando, Tadasuke
Shin, Toshitaka
Mimata, Hiromitsu
External iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection
title External iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection
title_full External iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection
title_fullStr External iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection
title_full_unstemmed External iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection
title_short External iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection
title_sort external iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622215/
https://www.ncbi.nlm.nih.gov/pubmed/37928311
http://dx.doi.org/10.1002/iju5.12650
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