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首页> 外文期刊>The Journal of Urology >Re: Incidence of port-site hernias after robot-assisted radical prostatectomy with the fascial closure of only the midline 12-mm port site
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Re: Incidence of port-site hernias after robot-assisted radical prostatectomy with the fascial closure of only the midline 12-mm port site

机译：回复：机器人辅助根治性前列腺切除术仅对中线12 mm港口部位进行筋膜闭合后，港口地点疝的发生率

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Background and Purpose: Port-site hernias are rare complications that occur in approximately 1% of all laparoscopic surgeries. With the use of bladeless, blunt-tipped entry trocars, some surgeons have argued that not all port sites need fascial closure. Several cases of port-site hernia, however, have been reported recently with the use of bladeless trocars. This study evaluated the incidence of port-site hernias after robot-assisted radical prostatectomy (RAEP) as we routinely closed the fascia of only the midline 12-mm port site. Patients and Methods: From 2006 to 2009, 498 patients with localized prostate cancer underwent RARP. Bladeless dilating trocars were used in all of our patients. Routinely, six ports were used: two 12 mm, three 8 mm, and one 5 mm. Fascial closure was performed only for the midline supraumbilical 12-mm port site. Results: In 498 cases of RARP, there were two port-site hernias (0.4%, 2/498). Both cases occurred at the midline supraumbilical 12-mm camera port site. No hernia developed at nonmidline port sites, including the lateral 12-mm port site. Conclusion: Trocar site hernias after RARP are rare. When bladeless dilating trocars are used, routine closure of fascia of non-midline 12-mm or smaller port sites is not necessary. Splitting the muscle and fascia without cutting likely renders routine closure of fascia unnecessary for nonmidline ports that are <12 mm.
机译：背景与目的：腹腔疝是一种罕见的并发症，大约占所有腹腔镜手术的1％。一些外科医生认为，由于使用无刀片，钝头的进口套管针，并非所有港口都需要进行筋膜封闭术。然而，最近已经报道了使用无刀片套管针的几例港口现场疝病例。这项研究评估了机器人辅助根治性前列腺切除术（RAEP）后例行港口疝的发生率，因为我们通常仅关闭12毫米中线港口部位的筋膜。患者与方法：从2006年至2009年，有498例局限性前列腺癌患者接受了RARP。我们所有的患者都使用了无叶片扩张套管针。通常使用六个端口：两个12毫米，三个8毫米和一个5毫米。仅对脐带上中线12毫米端口部位进行筋膜封闭。结果：在498例RARP患者中，有2例发生了港口现场疝（0.4％，2/498）。两种情况均发生在脐带上中线12毫米摄像机端口部位。在非中线港口，包括外侧12 mm港口，没有疝气形成。结论：RARP后套管针疝气少见。当使用无叶片扩张套管针时，无需常规关闭非中线12mm或更小端口部位的筋膜。肌肉和筋膜分开而不进行切割很可能导致常规的筋膜闭合对于小于12mm的非中线端口而言是不必要的。

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