Low Risk of Post-Operative Hernia Following Single-Port Robot-Assisted Radical Prostatectomy: A Report from the Single-Port Advanced Research Consortium (SPARC)

• Published in: Urology (Ridgewood, N.J.) N.J.), 2023-07
• Main Authors: Soputro, Nicolas A, Ferguson, Ethan L, Ramos-Carpinteyro, Roxana, Calvo, Ruben Sauer, Nguyen, Jennifer, Moschovas, Marcio C, Wilder, Samantha, Chavali, Jaya S, Okhawere, Kennedy E, De La Rosa, Ruth Sanchez, Saini, Indu, Peabody, James, Badani, Ketan K, Rogers, Craig, Joseph, Jean, Patel, Vipul, Stifelman, Michael, Ahmed, Mutahar, Crivellaro, Simone, Kim, Moses, Nix, Jeffrey, Kaouk, Jihad H
• Format: Article
• Language: English
• ISSN: 1527-9995

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.