Bilateral subgaleal hematoma after a robot-assisted radical prostatectomy: an uncommon complication

Abstract

Robot-assisted radical prostatectomy is a relatively re-cent technique. Its advantages include less invasiveness and better pain management, but has specific anesthesia requirements, such as steep Trendelenburg position and pneumoperitoneum. Mild complications are common, e.g., transient hypotension or soft tissue edema.We present a case of a 62-year old male who developed subgaleal hematoma associated with transient neurologic impairment after surgery. Jugular vein insufficiency was suspected as the most likely cause. The patient recovered fully.Robot-assisted radical prostatectomy can be a challeng-ing procedure due to the anesthesia requirements, but most complications are mild and transient. However, patients should be carefully assessed before surgery. We identified potential factors that may have led to this complication: the abnormal prolonged surgical time, the steep Trende-lenburg, a non-assessed jugular vein insufficiency, and/or patient's obesity.