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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Wiley
2020-07-01
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Series: | IJU Case Reports |
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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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institution | Directory Open Access Journal |
issn | 2577-171X |
language | English |
last_indexed | 2024-12-13T05:17:28Z |
publishDate | 2020-07-01 |
publisher | Wiley |
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series | IJU Case Reports |
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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