[Needle Lost during Robot-Assisted Laparoscopic Radical Prostatectomy : A Case Report].

Area of Science:

• Urology
• Surgical Technology
• Medical Device Safety

Background:

• Robot-assisted radical prostatectomy is a common procedure for prostate cancer.
• Surgical instruments, including suture needles, are used during these minimally invasive surgeries.
• Maintaining surgical field clarity and instrument integrity is crucial for patient safety.

Observation:

• A suture needle was lost during a robot-assisted laparoscopic radical prostatectomy after removal from an AirSeal® access port.
• Initial attempts to locate the needle using a standard portable radiograph were unsuccessful.
• Disassembly of the AirSeal® port revealed the needle lodged in the port top's groove.

Findings:

• Suture needles can become lodged within AirSeal® ports, despite the absence of a valve structure.
• Standard radiography without contrast optimization may not be sufficient for locating retained needles within such devices.
• The design of the AirSeal® port may present a risk for retaining small surgical items.

Implications:

• Awareness of this potential complication is important for surgical teams performing procedures with AirSeal® ports.
• The use of X-ray radiography with optimized gradation settings is recommended for improved detection of retained needles.
• Further investigation into device modifications or improved retrieval techniques may be warranted to prevent needle retention.