To evaluate the risk of postoperative hernia following different approaches of SP robot-assisted radical prostatectomy (SP-RARP).
A retrospective review was performed on patients who underwent SP-RARP between February 2019 to 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.
A total of 1103 patients were identified, consisting of 244 (22.1%), 712 (64.6%), and 147 (13.3%) cases performed via transperitoneal, extraperitoneal, and transvesical approaches, respectively. During a median follow-up time of 11 months (interquartile range [IQR] 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 extraperitoneal and transvesical SP-RARP at the completion of our review.
SP-RARP was associated with low risk for postoperative hernia. The risk was lower following transvesical and extraperitoneal SP-RARP where the peritoneum is preserved.
Urology. 2023 Jul 14 [Epub ahead of print]
Nicolas A Soputro, Ethan L Ferguson, Roxana Ramos-Carpinteyro, Ruben Sauer Calvo, Jennifer Nguyen, Marcio C Moschovas, Samantha Wilder, Jaya S Chavali, Kennedy E Okhawere, Ruth Sanchez De La Rosa, Indu Saini, James Peabody, Ketan K Badani, Craig Rogers, Jean Joseph, Vipul Patel, Michael Stifelman, Mutahar Ahmed, Simone Crivellaro, Moses Kim, Jeffrey Nix, Jihad H Kaouk
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH., University of Illinois at Chicago (UIC), Chicago, IL., Hackensack University Medical Center, Hackensack, NJ., AdventHealth Medical Group Urology, Celebration, FL., Henry Ford Hospital, Detroit, MI., Mount Sinai Hospital, New York City, NY., University of Rochester Medical Center, Rochester, NY., Hackensack University Medical Center, Hackensack, NJ; Hackensack Meridian School of Medicine, Nutley, NJ., Orange County Urology Associates, Laguna Hills, CA., University of Alabama at Birmingham, Birmingham, AL., Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH. Electronic address: .