Port site hernia at the robotic arm port after robotic-assisted laparoscopic radical prostatectomy.
IJU Case Rep
; 3(4): 153-156, 2020 Jul.
Article
em En
| MEDLINE
| ID: mdl-33392478
ABSTRACT
INTRODUCTION:
Complications unique to laparoscopic surgery have been reported, including port site hernia. We experienced a case of port site hernia in the robotic right-hand port site measuring 8 mm in diameter after robotic-assisted laparoscopic radical prostatectomy. CASE PRESENTATION A 56-year-old man was indicated a high prostate-specific antigen level of 37.8 ng/ml. Subsequent prostate biopsy revealed adenocarcinoma with a Gleason score of 4 + 4. The patient underwent robotic-assisted laparoscopic radical prostatectomy in Juntendo Hospital. Although his postoperative recovery was generally good, the patient complained of sudden nausea and acute abdominal pain. A contrast computed tomography scan showed an ileus due to a hernia occurring at the robotic right-hand port, the da Vinci Arm I port. We released incarceration under laparoscopic procedure.CONCLUSION:
Since the port diameter is relatively small in robot-assisted surgery, port site hernias are expected to be rare. However, careful attention should be paid to the positional deviation of the remote center.
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MEDLINE
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En
Ano de publicação:
2020
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Article