腹腔鏡手術後に5mmポート孔より生じたポートサイトヘルニアの一例

抄録

  Port site hernia is one of the complications that occur following laparoscopic surgery, with a reported prevalence of approximately 0.5%. We report a case of hernia at a 5-mm port site in a 79-year-old woman who underwent laparoscopic bilateral salpingo-oophorectomy. She complained of reduced appetite and emesis on the fourth postoperative day. Contrast-enhanced computed tomography revealed intestinal obstruction at the port site, and emergency abdominal operation was required. Several causative factors of port site hernia were considered, such as advanced age, obesity, long-term history of steroid administration, and injury to the fascia during laparoscopic operation. It is important to evaluate the risk of port site hernia in terms of both patient as well as iatrogenic factors.