ABSTRACT
Arterial vascular injuries associated with urologic laparoscopy are usually uncommon. However, they can be some of the most devastating problems encountered by the surgeon, resulting in unnecessary blood loss, poor visualization, conversion to an open surgical procedure, specific ormultiple organ compromise/ failure, shock, or ultimately death. These injuries may occur at
any time during the operation, such as with trocar placement, tissue dissection, or isolation and ligation of vascular structures. They may be diagnosed intraoperatively or postoperatively. The key to these injuries is prevention with meticulous surgical skill and surgeon patience. However, when major arterial injuries occur, early recognition with a prompt and appropriate response is paramount to a successful outcome.The principles of managing significant venous injuries are similar to arterial injuries, with some minor differences outlined in this chapter.
