Journal of Robotic Surgery

, Volume 8, Issue 1, pp 89–91 | Cite as

Trocar-site hernia at the 8-mm robotic port after robot-assisted laparoscopic prostatectomy: a case report and review of the literature

  • James Hok-Leung Tsu
  • Ada Tsui-Lin Ng
  • Jason Ka-Wing Wong
  • Edmond Ming-Ho Wong
  • Kwan-Lun Ho
  • Ming-Kwong Yiu
Case Report


Trocar-site hernia is an uncommon but serious complication after laparoscopic surgery as it frequently requires surgical intervention. We describe a 75-year-old man with Gleason score 4 + 3, clinical stage T1c prostate adenocarcinoma who underwent an uneventful robot-assisted transperitoneal laparoscopic radical prostatectomy. On post-operative day four, he developed symptoms of small bowel obstruction due to herniation and incarceration of the small bowels in a Spigelian-type hernia at the left lower quadrant 8-mm trocar site. Surgical exploration was performed via a mini-laparotomy to reduce the bowel and repair the fascial layers. A literature search was performed to review other cases of trocar-site hernia through the 8-mm robotic port after robot-assisted surgery and the suggested methods of prevention.


8-mm port Robot-assisted laparoscopic prostatectomy Trocar-site hernia 


Conflict of interest


Consent section

Written informed consent was obtained from the patient for publication of this Case Report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.


  1. 1.
    Pick DL, Lee DI, Skarecky DW, Ahlering TE (2004) Anatomic guide for port placement for daVinci robotic radical prostatectomy. J Endourol 18:572–575PubMedCrossRefGoogle Scholar
  2. 2.
    Crist DW, Gadacz TR (1993) Complications of laparoscopic surgery. Surg Clin North Am 73:265–289PubMedGoogle Scholar
  3. 3.
    Fear RE (1968) Laparoscopy: a valuable aid in gynecologic diagnosis. Obstet Gynecol 31:297–309PubMedCrossRefGoogle Scholar
  4. 4.
    Swank HA, Mulder IM, la Chapelle CF, Reitsma JB, Lange JF, Bemelman WA (2012) Systematic review of trocar-site hernia. British J surg 99:315–323CrossRefGoogle Scholar
  5. 5.
    Yamamoto M, Minikel L, Zaritsky E (2011) Laparoscopic 5-mm trocar site herniation and literature review. J Soc Laparoendosc Surg/Soc Laparoendosc Surg 15:122–126CrossRefGoogle Scholar
  6. 6.
    Tapscott AK, Steven SK, White S, Graves R, Kraft K, Casale P (2009) Port-site complications after pediatric urologic robotic surgery. J Robot Surg 3:187–190CrossRefGoogle Scholar
  7. 7.
    Chiong E, Hegarty PK, Davis JW, Kamat AM, Pisters LL, Matin SF (2010) Port-site hernias occurring after the use of bladeless radially expanding trocars. Urology 75:574–580PubMedCrossRefGoogle Scholar
  8. 8.
    Seamon LG, Backes F, Resnick K, Cohn DE (2008) Robotic trocar site small bowel evisceration after gynecologic cancer surgery. Obstet Gynecol 112:462–464PubMedCrossRefGoogle Scholar
  9. 9.
    Spaliviero M, Samara EN, Oguejiofor IK, DaVault RJ, Albrecht RM, Wong C (2009) Trocar site spigelian-type hernia after robot-assisted laparoscopic prostatectomy. Urology 73(1423):3–5Google Scholar
  10. 10.
    Fuller A, Fernandez A, Pautler SE (2011) Incisional hernia after robot-assisted radical prostatectomy-predisposing factors in a prospective cohort of 250 cases. J Endourol 25:1021–1024PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • James Hok-Leung Tsu
    • 1
  • Ada Tsui-Lin Ng
    • 1
  • Jason Ka-Wing Wong
    • 1
  • Edmond Ming-Ho Wong
    • 1
  • Kwan-Lun Ho
    • 1
  • Ming-Kwong Yiu
    • 2
  1. 1.Division of Urology, Department of Surgery, Li Ka Shing Faculty of MedicineUniversity of Hong KongHong KongHong Kong SAR
  2. 2.Department of SurgeryUniversity of Hong KongHong KongHong Kong SAR

Personalised recommendations