Tompkins Brandon M, Rai Upahvan, Miller Roy, Sarle Richard
Department of Urology, Sparrow Urology Residency,1140 E Michigan Ave, Suite 300, Lansing, MI, 48912, USA.
Urol Case Rep. 2024 Oct 2;57:102859. doi: 10.1016/j.eucr.2024.102859. eCollection 2024 Nov.
Definitive surgical treatment for prostate cancer continues to evolve with robotic prostatectomy being the preferred technique. This technique has led to decreased blood loss and transfusion rates. Although uncommon, this case report presents a rare incident of delayed inferior epigastric bleed from a port site after a robotic prostatectomy. Our case report aims to establish the first known algorithm to address port site bleeding after robotic prostatectomies. Having an established algorithmic approach to evaluate and treat patients with postoperative port site bleeding is paramount. Using the algorithm, this patient was stabilized, and bleeding was controlled with embolization.
前列腺癌的确定性手术治疗方法不断发展，机器人前列腺切除术成为首选技术。该技术已使失血量和输血率降低。尽管罕见，但本病例报告呈现了一例机器人前列腺切除术后罕见的腹壁下动脉延迟性端口部位出血事件。我们的病例报告旨在建立首个已知的处理机器人前列腺切除术后端口部位出血的算法。拥有一种既定的算法方法来评估和治疗术后端口部位出血的患者至关重要。使用该算法，该患者病情稳定，出血通过栓塞得以控制。
