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.
Copyright © 2023. Published by Elsevier Inc.
