Two cases of vascular complications after urologic robotic surgery

Peripheral arterial disease (PAD) of the lower extremity is common and includes aortoiliac occlusive disease (AIOD). Moreover, prostate cancer is the most common cancer in men and is now treated with surgical robotic-assisted procedures. This paper overviews two cases of limb ischemia after robotic-assisted radical prostatectomy (RARP) and their resolution. During both RARP, limb ischemia occurred due to the robotic instrument compressing the modified vascular structure. Indeed, in the surgical history of the concerned patients, one was treated by an endovascular procedure and the other one was treated by a surgical bypass for AIOD. Expectantly, these cases will alert the urologic surgeons to pay attention to the vascular surgery history of a patient before RARP.