Mp68-13 the prevalence of port-site incisional hernia after urologic robot-assisted laparoscopic surgery: a single-center retrospective study

You have accessJournal of UrologyCME1 Apr 2023MP68-13 THE PREVALENCE OF PORT-SITE INCISIONAL HERNIA AFTER UROLOGIC ROBOT-ASSISTED LAPAROSCOPIC SURGERY: A SINGLE-CENTER RETROSPECTIVE STUDY Lek Hong Tan, Guan Heng Chen, Chao Hsiang Chang, Chi Rei Yang, Chi Ping Huang, and Hsi Chin Wu Lek Hong TanLek Hong Tan More articles by this author , Guan Heng ChenGuan Heng Chen More articles by this author , Chao Hsiang ChangChao Hsiang Chang More articles by this author , Chi Rei YangChi Rei Yang More articles by this author , Chi Ping HuangChi Ping Huang More articles by this author , and Hsi Chin WuHsi Chin Wu More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003331.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Port-site incisional hernia is a rare but potentially dangerous complication following laparoscopic surgery. However, only sporadic studies reported this complication after robotic surgery. Therefore, this study investigates the prevalence of port-site incisional hernia after urologic robot-assisted laparoscopic surgery. METHODS: This is a retrospective, single-center, observational study. Medical records were reviewed for 1295 patients who underwent urologic robot-assisted laparoscopic surgery from September 2013 to September 2021. The prevalence of port-site incisional hernia of robot-assisted radical prostatectomy (RARP), robot-assisted partial nephrectomy (RAPN), robot-assisted radical cystectomy (RARC), and robot-assisted radical nephroureterectomy with bladder cuff excision (RANUBCE) was computed. In addition, the association between uremic status and the post-operative port-site incisional hernia was shown with an odd ratio (OR) against a reference group. RESULTS: Among 527 patients who underwent RARP, 9 patients suffered from port-site incisional hernia (1.71%; 95% CI: 0.90%, 3.22%), 1 out of 154 patients in RAPN (0.65%; 95% CI: 0.11%, 3.59%), 4 out of 46 patients in RARC (8.70%; 95% CI: 3.44%, 20.33%), and 4 out of 136 patients in RANUBCE (2.94%; 95% CI: 1.15%, 7.32%). For all 4 patients who suffered from port-site incisional hernia after undergoing RARC, their neobladders were constructed extracorporeally, of which 2 performed ileal conduit, Studer pouch in 1 patient, and another one underwent J-pouch construction. The average time to occurrence of port-site incisional hernia was 366 days and the longest time to occurrence was 1129 days. Most of the incisional hernia occurred at the camera port site (70.59%; 95% CI: 46.87%, 86.72%), and uremic status is associated with a higher tendency to suffer from port-site incisional hernia (OR= 3.68, p<0.05). CONCLUSIONS: RARC has a higher prevalence rate of port-site incisional hernia, among other types of urologic robot-assisted surgery. Incisional hernia tends to occur in RARC with extracorporeal neobladder construction. In addition, the port-site incisional hernia is associated with the larger port size and the uremic status of the patients. Source of Funding: No © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e958 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Lek Hong Tan More articles by this author Guan Heng Chen More articles by this author Chao Hsiang Chang More articles by this author Chi Rei Yang More articles by this author Chi Ping Huang More articles by this author Hsi Chin Wu More articles by this author Expand All Advertisement PDF downloadLoading ...