title: Trocar-site hernia at the 8-mm robotic port after robot-assisted laparoscopic prostatectomy: a case report and review of the literature.
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.
authors.affiliation: Division of Urology, Department of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong, Hong Kong SAR.
authors.forename: James Hok-Leung
authors.initials: JH
authors.lastname: Tsu
authors.affiliation: Division of Urology, Department of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong, Hong Kong SAR.
authors.forename: Ada Tsui-Lin
authors.initials: AT
authors.lastname: Ng
authors.affiliation: Division of Urology, Department of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong, Hong Kong SAR.
authors.forename: Jason Ka-Wing
authors.initials: JK
authors.lastname: Wong
authors.affiliation: Division of Urology, Department of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong, Hong Kong SAR.
authors.forename: Edmond Ming-Ho
authors.initials: EM
authors.lastname: Wong
authors.affiliation: Division of Urology, Department of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong, Hong Kong SAR.
authors.forename: Kwan-Lun
authors.initials: KL
authors.lastname: Ho
authors.affiliation: Department of Surgery, University of Hong Kong, 102 Pokfulam Road, Hong Kong, Hong Kong SAR. yiumk2@ha.org.hk.
authors.forename: Ming-Kwong
authors.initials: MK
authors.lastname: Yiu
keywords: 8-mm port; Robot-assisted laparoscopic prostatectomy; Trocar-site hernia