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单孔机器人辅助根治性前列腺切除术后疝形成的低风险：来自单孔高级研究联盟（SPARC）的报告

Low Risk of Postoperative Hernia Following Single-port Robot-assisted Radical Prostatectomy: A Report From the Single-port Advanced Research Consortium (SPARC).

作者信息

Soputro Nicolas A, Ferguson Ethan L, Ramos-Carpinteyro Roxana, Sauer Calvo Ruben, Nguyen Jennifer, Moschovas Marcio C, Wilder Samantha, Chavali Jaya S, Okhawere Kennedy E, De La Rosa Ruth Sanchez, Saini Indu, Peabody James, Badani Ketan K, Rogers Craig, Joseph Jean, Patel Vipul, Stifelman Michael, Ahmed Mutahar, Crivellaro Simone, Kim Moses, Nix Jeffrey, Kaouk Jihad

机构信息

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH.

University of Illinois at Chicago (UIC), Chicago, IL.

出版信息

Urology. 2023 Oct;180:151-159. doi: 10.1016/j.urology.2023.07.002. Epub 2023 Jul 16.

DOI:10.1016/j.urology.2023.07.002

PMID:37454768

Abstract

OBJECTIVE

To evaluate the risk of postoperative hernia following different approaches of single-port robot-assisted radical prostatectomy (SP-RARP).

METHODS

A retrospective review was performed on patients who underwent SP-RARP between February 2019 and December 2022. Demographic and clinical information was collected from the multi-institutional, prospectively-maintained Single-Port Advanced Research Consortium (SPARC) database. Data were analyzed using IBM Statistical Packaging for Social Sciences (SPSS) version 29.0 with descriptive statistics as presented.

RESULTS

A total of 1103 patients were identified, consisting of 244 (22.1%), 712 (64.6%), and 147 (13.3%) cases performed via transperitoneal, extraperitoneal (EP), and transvesical (TV) approaches, respectively. During a median follow-up time of 11 months (interquartile range 5.7-17.1 months), only two cases of incisional hernia were reported. Both cases occurred following transperitoneal SP-RARP with one patient requiring surgical repair. There remains no evidence of postoperative hernia following EP and TV SP-RARP at the completion of our review.

CONCLUSION

SP-RARP was associated with low risk for postoperative hernia. The risk was lower following TV and EP SP-RARP where the peritoneum is preserved.

摘要

目的

评估单孔机器人辅助根治性前列腺切除术（SP-RARP）不同入路术后发生疝的风险。

方法

对2019年2月至2022年12月期间接受SP-RARP的患者进行回顾性研究。从多机构前瞻性维护的单孔高级研究联盟（SPARC）数据库中收集人口统计学和临床信息。使用IBM社会科学统计软件包（SPSS）29.0版进行数据分析，并按描述性统计呈现数据。

结果

共纳入1103例患者，其中经腹腔入路、腹膜外（EP）入路和经膀胱（TV）入路分别有244例（22.1%）、712例（64.6%）和147例（13.3%）。在中位随访时间11个月（四分位间距5.7 - 17.1个月）内，仅报告了2例切口疝。两例均发生在经腹腔SP-RARP术后，其中1例患者需要手术修复。在我们的研究结束时，没有证据表明EP和TV SP-RARP术后发生疝。