Beckley I, Patterson B, Hamaday M, Vale J, Hrouda D
Department of Urology, Charing Cross Hospital, London, UK.
J Endourol. 2007 Aug;21(8):923-5. doi: 10.1089/end.2006.0419.
We present the first report of a pseudoaneurysm of an accessory internal pudendal artery after transperitoneal robotic radical prostatectomy. The vesicourethral anastomosis was performed using two continuous 3-0 Monocryl sutures tied at the six o'clock position. As the anastomotic suture was placed at 11 o'clock, lateral to the dorsal venous complex, there was a small amount of pulsatile bleeding that ceased when the suture was completed and tied. The lesion presented as hematuria beginning on the fourth day. On the 14(th) day, the pseudoaneurysm was diagnosed by CT angiography and treated by embolization with eight 3-mm/30-mm micro coils after superselective catheterization. There were no complications or further hematuria.
我们报告了首例经腹机器人根治性前列腺切除术后阴部内副动脉假性动脉瘤的病例。膀胱尿道吻合术采用两根连续的3-0可吸收缝线在六点位置打结完成。由于吻合缝线置于背侧静脉复合体外侧的十一点位置，出现了少量搏动性出血，在缝线完成并打结后出血停止。病变于术后第四天开始表现为血尿。在第14天，通过CT血管造影诊断为假性动脉瘤，并在超选择性插管后用8个3毫米/30毫米微线圈进行栓塞治疗。未出现并发症或再次血尿。
