Robot‐assisted laparoscopic management of a vascular entrapment of the sacral nerve roots causing pelvic pain

The aim of this case report is to demonstrate the robot‐assisted laparoscopic decompression approach to treat the aberrant vessels entrapping the sacral nerves causing pelvic pain. A 34‐year‐old female patient had been complaining about pelvic pain on the left perineal region which was radiating to the sacral 1–2 nerves dermatome for 3 years. Decompression of sacral nerve roots and sciatic nerve was performed via robot‐assisted and a four‐arm Da Vinci Si Surgical System laparoscopic approach. This case report is the first presentation of robot‐assisted laparoscopic management of a vascular entrapment of the sacral nerve roots. The robotic technique offers, three‐dimensional vision, improved maneuverability and enhanced ergonomics in the deepest area in the pelvis and could be a valid alternative to laparoscopy in the treatment of intrapelvic neurovascular entrapments.