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Incisional hernia after robotic single-site cholecystectomy: a pilot study.

A Balaphas1, N C Buchs2, S P Naiken2

  • 1Division of Digestive and Transplantation Surgery, University Hospitals Geneva, Rue Gabrielle-Perret-Gentil 4, 1211, Geneva, Switzerland. alexandre.balaphas@hcuge.ch.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|May 11, 2017
PubMed
Summary
This summary is machine-generated.

Robotic LaparoEndoscopic Single-Site Surgery Cholecystectomy (R-LESS-C) may lead to a significant rate of incisional hernias. Long-term follow-up is crucial to assess these parietal complications after R-LESS-C.

Keywords:
CholecystectomyIncisional herniaRobotSingle siteSingle trocart

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Robotic LaparoEndoscopic Single-Site Surgery Cholecystectomy (R-LESS-C) has been performed for five years using the da Vinci Single-Site platform.
  • While short-term feasibility is established, long-term outcomes, particularly parietal complications, remain under-assessed.

Purpose of the Study:

  • To evaluate the long-term parietal complications associated with Robotic LaparoEndoscopic Single-Site Surgery Cholecystectomy.

Main Methods:

  • A retrospective study evaluated patients who underwent R-LESS-C between 2011 and 2013.
  • Parietal incisions were assessed using ultrasonography, and patients were screened for residual scar tissue pain.
  • Demographic and perioperative data were collected for analysis.

Main Results:

  • The study included 48 patients (79.2% female, median age 49 years) with a median follow-up of 39 months.
  • A 12.5% rate of incisional hernias was detected via ultrasonography, with an overall incidence of 16.7%.
  • Five patients (10.4%) reported residual pain from scar tissue.

Conclusions:

  • Robotic LaparoEndoscopic Single-Site Surgery Cholecystectomy may be associated with a clinically significant rate of incisional hernias.
  • Further large-scale studies comparing R-LESS-C with alternative surgical methods and long-term follow-up are warranted.