LAUSR

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.