Lost needle: a dilemma in robotic-assisted laparoscopic surgery

Area of Science:

• Urology
• Surgical Technology
• Medical Device Safety

Background:

• Robotic-assisted radical prostatectomy is a common procedure for prostate cancer.
• Surgical complications, though rare, require careful management.
• Lost surgical instruments present unique challenges in minimally invasive surgery.

Purpose of the Study:

• To present a unique case of a lost needle during robotic-assisted radical prostatectomy.
• To discuss the management dilemma posed by a retained surgical needle.
• To highlight considerations for patient safety and surgical efficiency.

Main Methods:

• Case report of a robotic-assisted radical prostatectomy.
• Description of an intraoperative complication involving a lost needle.
• Discussion of the decision-making process regarding instrument retrieval.

Main Results:

• A needle was inadvertently lost within the robotic system's port during the procedure.
• The surgical team faced a critical decision regarding immediate retrieval versus delayed search.
• The case highlights the importance of meticulous instrument counts and vigilance.

Conclusions:

• Management of retained surgical instruments requires careful consideration of risks and benefits.
• The decision to retrieve a lost needle intraoperatively or postoperatively depends on various factors.
• This case underscores the need for standardized protocols for managing such rare surgical events.