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预防机器人辅助腹腔镜手术中的8毫米切口疝：两例罕见病例的启示及未来预防措施

Preventing an 8-mm Port Site Hernia in Robot-Assisted Laparoscopic Surgery: Insights From Two Rare Cases and Future Preventive Measures.

作者信息

Seike Hirotaka, Nagata Keiji, Yamana Ippei, Fujikawa Takahisa

机构信息

Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.

出版信息

Cureus. 2024 Mar 20;16(3):e56609. doi: 10.7759/cureus.56609. eCollection 2024 Mar.

DOI:10.7759/cureus.56609
PMID:38646374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11031640/
Abstract

Port-site incisional hernia (PIH) is an uncommon complication that can arise subsequent to a laparoscopic procedure, potentially leading to severe adverse effects such as intestinal obstruction. We currently present two cases of incarcerated hernia that occurred at an 8-mm trocar site after robot-assisted laparoscopic surgery (RALS). While occurrences of an 8-mm port-site incisional hernia are infrequent, it is imperative to note that most PIH cases are due to inadequate fascial closure of the port site. Therefore, surgeons must pay attention to closing the fascia of an 8-mm trocar site following RALS.

摘要

切口疝（PIH）是一种不常见的并发症，可能在腹腔镜手术后出现，有可能导致肠梗阻等严重不良反应。我们目前报告两例在机器人辅助腹腔镜手术（RALS）后8毫米套管针穿刺部位发生的嵌顿疝。虽然8毫米切口疝的发生率不高，但必须注意的是，大多数PIH病例是由于穿刺部位筋膜闭合不充分所致。因此，外科医生在RALS后必须注意关闭8毫米套管针穿刺部位的筋膜。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/d188de2e34f9/cureus-0016-00000056609-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/c79dc6fa01d3/cureus-0016-00000056609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/0263950e8216/cureus-0016-00000056609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/c6e78bbcf64d/cureus-0016-00000056609-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/ba6b1c4db4f3/cureus-0016-00000056609-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/13ce6103aab1/cureus-0016-00000056609-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/d188de2e34f9/cureus-0016-00000056609-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/c79dc6fa01d3/cureus-0016-00000056609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/0263950e8216/cureus-0016-00000056609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/c6e78bbcf64d/cureus-0016-00000056609-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/ba6b1c4db4f3/cureus-0016-00000056609-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/13ce6103aab1/cureus-0016-00000056609-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11031640/d188de2e34f9/cureus-0016-00000056609-i06.jpg

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