Low Risk of Postoperative Hernia Following Single-port Robot-assisted Radical Prostatectomy: A Report From the Single-port Advanced Research Consortium (SPARC)

OBJECTIVE To evaluate the risk of postoperative hernia following different approaches of single-port robotassisted radical prostatectomy (SP-RARP).METHODS A retrospective review was performed on patients who underwent SP-RARP between February 2019 and December 2022. Demographic and clinical information was collected from the multidatabase. Data were analyzed using IBM Statistical Packaging for Social Sciences (SPSS) version 29.0 with descriptive statistics as presented.RESULTS A total of 1103 patients were identified, consisting of 244 (22.1%), 712 (64.6%), and 147 (13.3%) cases performed via transperitoneal, extraperitoneal (EP), and transvesical (TV) approaches, respectively. During a median follow-up time of 11 months (interquartile range 5.717.1 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 EP and TV SP-RARP at the completion of our review.CONCLUSION SP-RARP was associated with low risk for postoperative hernia. The risk was lower following TV and EP SP-RARP where the peritoneum is preserved. UROLOGY 180: 151-159, 2023. (c) 2023 Elsevier Inc. All rights reserved.

Automated summary

The study found that single-port robot-assisted radical prostatectomy (SP-RARP) is associated with a low risk of postoperative hernia, especially when performed via the extraperitoneal (EP) and transvesical (TV) approaches. In these approaches, where the peritoneum is preserved, there is a lower incidence of postoperative hernia.