A safe, reliable, and efficient robot-assisted port site closure for robot-assisted gastrectomy.

ABSTRACT:

Introduction

The overall incidence of port site hernias in laparoscopy and robot-assisted surgeries ranges from 0% to 5.2%. Sufficient port site closure is essential to reduce and prevent the occurrence of port site hernia. However, complete fascial closure of 8-mm robot-port site appears to be difficult. In this study, we propose a safe and reliable robot-assisted port-site closure for robot-assisted gastrectomy.

Materials and methods

The robotic arm was tilted 60-70° cranially or caudally to create a small gap between the port and the skin margin that was cut open for port insertion. While viewing through the robotic camera and grasping the polydioxanone (PDS) thread, the Lapa-Her-Closure was inserted into the peritoneal cavity through the gap. The Lapa-Her-Closure was rem

SUBMITTER: Hirahara N 

PROVIDER: S-EPMC8606878 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature