Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA.
Department of Obstetrics and Gynecology, Baskent University School of Medicine, Ankara, Turkey.
J Chin Med Assoc. 2014 Feb;77(2):112-4. doi: 10.1016/j.jcma.2013.10.003. Epub 2013 Nov 10.
The increasing use of laparoscopy has resulted in added complications specific to the laparoscopic approach, such as trocar site hernia (TSH), which is an uncommon but well-recognized problem for both regular laparoscopic and robotic-assisted laparoscopic procedures. We describe an extremely rare case of TSH at an 8-mm port site occurring a relatively short time after surgery in a 53-year-old patient undergoing robotic-assisted laparoscopic hysterectomy for benign reasons. Additionally, this report attempts to explain the possible etiological factors relating to TSH following robotic-assisted surgery. According to our case report, a defect in the 8-mm port that may lead to hernia is one possible explanation, and closure of the 8-mm trocar sites' fascia may be a safer approach during robotic-assisted surgery. Additional reports are needed to accurately determine the frequency of occurrence and importance of this complication.
腹腔镜的使用日益增多，导致了特定于腹腔镜方法的附加并发症，例如套管针部位疝（TSH），这是常规腹腔镜和机器人辅助腹腔镜手术都存在的一种不常见但已被充分认识到的问题。我们描述了一例非常罕见的 53 岁患者在机器人辅助腹腔镜子宫切除术后发生的 TSH 病例，该患者因良性原因接受手术，手术时间相对较短，发生在 8mm 端口部位。此外，本报告试图解释与机器人辅助手术后 TSH 相关的可能病因因素。根据我们的病例报告，导致疝的 8mm 端口缺陷可能是一个解释，在机器人辅助手术中，关闭 8mm 套管针部位的筋膜可能是一种更安全的方法。需要更多的报告来准确确定这种并发症的发生频率和重要性。
