Laparoscopic injury and repair of obturator nerve during radical prostatectomy

Spaliviero, Massimiliano; Steinberg, Andrew P.; Kaouk, Jihad H.; Desai, Mihir M.; Hammert, Warren C.; Gill, Inderbir S.

doi:10.1016/j.urology.2004.06.046

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Volume 64, Issue 5 , Page 1030, November 2004

Laparoscopic injury and repair of obturator nerve during radical prostatectomy

Massimiliano Spaliviero
- Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Andrew P. Steinberg
- Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Jihad H. Kaouk
- Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Mihir M. Desai
- Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Warren C. Hammert
- Department of Plastic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Inderbir S. Gill
- Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
- Reprint requests: Inderbir S. Gill, M.D., M.Ch., Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, A100, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195

Received 19 March 2004; accepted 17 June 2004. published online 18 October 2004.

Abstract

A 61-year-old man with bilateral Gleason score 7 (3+4) clinical Stage T1c prostate cancer was treated with laparoscopic bilateral pelvic lymphadenectomy and radical prostatectomy. The left obturator nerve was inadvertently transected during left obturator lymph node dissection and repaired by laparoscopic reapproximation.