High incidence of trocar site hernia after laparoscopic or robotic Roux-en-Y gastric bypass

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• 作者：Gitana Scozzari ; Marcello Zanini ; Francesca Cravero ; Roberto Passera…
• 关键词：Trocarsite hernia ; Port ; site hernia ; Laparoscopy complications ; Robotic ; assisted surgery ; Robot complications
• 刊名：Surgical Endoscopy
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：28
• 期：10
• 页码：2890-2898
• 全文大小：408 KB
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• 作者单位：Gitana Scozzari (1)
  Marcello Zanini (1)
  Francesca Cravero (1)
  Roberto Passera (2)
  Fabrizio Rebecchi (1)
  Mario Morino (1)
  
  1. Department of Surgical Sciences, University of Torino, C.so AM Dogliotti, 14, 10126, Torino, Italy
  2. Division of Nuclear Medicine, AOU Città della Salute e della Scienza and University of Torino, Torino, Italy
  
• ISSN：1432-2218

文摘

Background Trocar Site Hernia (TSH) seems to represent a rare surgical complication, but available data are based only on symptomatic patients and clinically diagnosed cases; moreover, no data are available concerning TSH incidence after robotic-assisted procedures. Aims of the study were to asses TSH incidence in obese patients who underwent Roux-en-Y gastric bypass (RYGB) and to compare it between robotic-assisted and standard laparoscopy. Methods Patients who underwent RYGB between November 2007 and June 2012 underwent a clinical examination and an ultrasonography study of the abdominal wall by a single operator. Results 150 patients entered the study, 102 in the laparoscopic and 48 in the robotic group. Mean pre-operative weight and BMI were 129.3?kg and 47.4?kg/m2, respectively; both were higher in the laparoscopic group (134.7 vs 117.6?kg, p?2, p?p?p?=?0.195). There were no significant differences between patients with and without TSH, except for higher post-operative wound complication in patients without TSH (22 vs 6.8?%, p?=?0.024; OR 0.26). Conclusions TSH revealed a high incidence in a bariatric surgery population, suggesting that it represents a strongly underestimated complication; furthermore, the present study showed a trend towards a higher incidence of TSH in patients who underwent robotic-assisted bariatric surgery.