Trocar Site Hernia after Use of an 8-mm Bladeless Trocar in Robotic Colorectal Surgery.
10.7602/jmis.2015.18.4.137
- Author:
Dae Ro LIM
1
;
Hyuk HUR
;
Byung Soh MIN
;
Seung Hyuk BAIK
;
Nam Kyu KIM
Author Information
1. Section of Colon and Rectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. namkyuk@yuhs.ac
- Publication Type:Case Report
- Keywords:
Low anterior resection;
Incisional hernia;
Robotic surgery
- MeSH:
Abdomen;
Aged;
Colonic Neoplasms;
Colorectal Surgery*;
Female;
Hernia*;
Humans;
Joints;
Risk Factors;
Surgical Instruments*
- From:Journal of Minimally Invasive Surgery
2015;18(4):137-140
- CountryRepublic of Korea
- Language:English
-
Abstract:
Port site hernias are a rare complication after laparoscopic and robotic surgery. The current case is an 8-mm port site hernia which occurred after robot-assisted colorectal surgery. A 70-year-old female with a BMI (body mass index) of 25.7 was diagnosed as rectosigmoid colon cancer. She underwent a robot-assisted low anterior resection with double-stapled anastomosis for AJCC (American Joint Committee on Cancer) stage IIIB. After the main procedure, fascial defects in the supra-pubic and the supra-umbilical site were closed with a routine procedure (12 mm). Thirty two months after surgery, she developed an incisional hernia in the left mid abdomen (8-mm port). Recognition of the potential for a port site hernia using an 8-mm bladeless trocar port as well as a 12-mm port is essential in robotic surgery. Patients with risk factors for a port site hernia may require complete port site closure.
