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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

Abstract

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.

Keywords

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

Notes

Conflict of interest

None.

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.

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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

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