TY - JOUR
T1 - Low Risk of Postoperative Hernia Following Single-port Robot-assisted Radical Prostatectomy
T2 - A Report From the Single-port Advanced Research Consortium (SPARC)
AU - Soputro, Nicolas A.
AU - Ferguson, Ethan L.
AU - Ramos-Carpinteyro, Roxana
AU - Sauer Calvo, Ruben
AU - Nguyen, Jennifer
AU - Moschovas, Marcio C.
AU - Wilder, Samantha
AU - Chavali, Jaya S.
AU - Okhawere, Kennedy E.
AU - De La Rosa, Ruth Sanchez
AU - Saini, Indu
AU - Peabody, James
AU - Badani, Ketan K.
AU - Rogers, Craig
AU - Joseph, Jean
AU - Patel, Vipul
AU - Stifelman, Michael
AU - Ahmed, Mutahar
AU - Crivellaro, Simone
AU - Kim, Moses
AU - Nix, Jeffrey
AU - Kaouk, Jihad
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2023/10
Y1 - 2023/10
N2 - 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.
AB - 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.
UR - https://www.scopus.com/pages/publications/85168454789
U2 - 10.1016/j.urology.2023.07.002
DO - 10.1016/j.urology.2023.07.002
M3 - Article
C2 - 37454768
AN - SCOPUS:85168454789
SN - 0090-4295
VL - 180
SP - 151
EP - 159
JO - Urology
JF - Urology
ER -