Vascular complications during laparoscopic surgery have occurred in 0.5 - 3.2% of cases and major vascular accidents are associated with a mortality rate of 8 - 17%. Herein we present laparoscopic vascular complications and their management.

This was a multi-center review of laparoscopic vascular complications. We selected videos of laparoscopic vascular complications and their management. We provide recommendations for the prevention and treatment based on our experience and a review of the literature.

We produced a didactic video demonstrating several vascular complications during laparoscopic surgeries in urology and their management Vascular injuries during laparoscopy are a source of morbidity and mortality.

Depending on the mode of access, a major vascular injury should be managed with immediate conversion to open surgery. If an injury occurs during dissection some general principles of management include: increasing the pneumoperitoneum to 20 mmHg, introducing a sponge to tamponade the bleeding, and if possible grasp the arterial/venous stump, and repair with laparoscopic techniques. Alternatively convert to a Hand-assisted device or open surgery.