Uketa Shoko, Shimizu Yousuke, Ogawa Kosuke, Utsunomiya Noriaki, Kanamaru Sojun
Department of Urology Kobe City Nishi-Kobe Medical Center Kobe Japan.
IJU Case Rep. 2020 Mar 21;3(3):97-99. doi: 10.1002/iju5.12155. eCollection 2020 May.
Port-site incisional hernia is a rare but well-known complication following a laparoscopic procedure and it may cause severe adverse outcomes, such as intestinal necrosis. Here, we report a rare case of hernia that occurred from an 8-mm trocar after robot-assisted radical cystectomy.
An 80-year-old woman was diagnosed with cT2bN1M0 bladder cancer. She underwent robot-assisted radical cystectomy. Nine days after surgery, she complained of severe abdominal pain. Computed tomography showed herniation of small intestine. Emergency explorative laparotomy revealed herniation of small intestine from an 8-mm trocar site. A section of the small bowel was necrotic and was resected.
It is debatable whether we should routinely close the fascia of an 8-mm trocar site. The patient was an elderly woman with multiple major abdominal surgery histories and hernia risk factors. For these patients, fascial closure of the 8-mm trocar site may be indicated.
切口疝是腹腔镜手术后一种罕见但广为人知的并发症，可能导致严重不良后果，如肠坏死。在此，我们报告一例机器人辅助根治性膀胱切除术后8毫米套管针处发生疝的罕见病例。
一名80岁女性被诊断为cT2bN1M0期膀胱癌。她接受了机器人辅助根治性膀胱切除术。术后九天，她主诉严重腹痛。计算机断层扫描显示小肠疝出。急诊剖腹探查发现小肠从8毫米套管针部位疝出。一段小肠坏死并被切除。
对于8毫米套管针部位的筋膜是否应常规关闭存在争议。该患者是一名有多次腹部大手术史和疝危险因素的老年女性。对于这些患者，可能需要对8毫米套管针部位进行筋膜关闭。
