Port site hernia at the robotic arm port after robotic‐assisted laparoscopic radical prostatectomy

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‐ol...

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Main Authors: Taiki Ogasa, Masayoshi Nagata, Hiroki Koyasu, Toshiyuki China, Kosuke Kitamura, Yoshiaki Wakumoto, Satoru Muto, Shigeo Horie
Format: Article
Language:English
Published: Wiley 2020-07-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12180
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author Taiki Ogasa
Masayoshi Nagata
Hiroki Koyasu
Toshiyuki China
Kosuke Kitamura
Yoshiaki Wakumoto
Satoru Muto
Shigeo Horie
author_facet Taiki Ogasa
Masayoshi Nagata
Hiroki Koyasu
Toshiyuki China
Kosuke Kitamura
Yoshiaki Wakumoto
Satoru Muto
Shigeo Horie
author_sort Taiki Ogasa
collection DOAJ
description 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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spelling doaj.art-c0e1a651a9f04858ad92b710401e222e2022-12-21T23:58:24ZengWileyIJU Case Reports2577-171X2020-07-013415315610.1002/iju5.12180Port site hernia at the robotic arm port after robotic‐assisted laparoscopic radical prostatectomyTaiki Ogasa0Masayoshi Nagata1Hiroki Koyasu2Toshiyuki China3Kosuke Kitamura4Yoshiaki Wakumoto5Satoru Muto6Shigeo Horie7Department of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanIntroduction 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.https://doi.org/10.1002/iju5.12180port site herniaprostatectomyRARProbotic surgerytrocar site hernia
spellingShingle Taiki Ogasa
Masayoshi Nagata
Hiroki Koyasu
Toshiyuki China
Kosuke Kitamura
Yoshiaki Wakumoto
Satoru Muto
Shigeo Horie
Port site hernia at the robotic arm port after robotic‐assisted laparoscopic radical prostatectomy
IJU Case Reports
port site hernia
prostatectomy
RARP
robotic surgery
trocar site hernia
title Port site hernia at the robotic arm port after robotic‐assisted laparoscopic radical prostatectomy
title_full Port site hernia at the robotic arm port after robotic‐assisted laparoscopic radical prostatectomy
title_fullStr Port site hernia at the robotic arm port after robotic‐assisted laparoscopic radical prostatectomy
title_full_unstemmed Port site hernia at the robotic arm port after robotic‐assisted laparoscopic radical prostatectomy
title_short Port site hernia at the robotic arm port after robotic‐assisted laparoscopic radical prostatectomy
title_sort port site hernia at the robotic arm port after robotic assisted laparoscopic radical prostatectomy
topic port site hernia
prostatectomy
RARP
robotic surgery
trocar site hernia
url https://doi.org/10.1002/iju5.12180
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