Introduction : Recently, robotic surgical technology has revolutionized the field of minimally invasive surgery. However, as the number of surgical cases increase, so does the number of complications, especially the trocar site hernia (TSH), which rarely occurs on the 8-mm port site after robotic cholecystectomy using the da Vinci Xi system.

Methods : A 37-year-old woman was diagnosed with calculous cholecystitis with the aid of an abdominal sonography. She underwent a robotic cholecystectomy using the bikini-line incision technique where ports were placed in 8-mm port sites at the right, middle and left lower quadrant abdominal areas. The patient was discharged after an uneventful recovery, two days postoperatively. On the day of discharge; however, the patient presented to the emergency room with small bowel obstruction secondary to dilated bowel herniated loop through abdominal fascial and peritoneal defects at the left 8-mm port site. After 5-day failure to resolve the mechanical ileus, the patient underwent emergency diagnostic laparoscopy where bowel resection and anastomosis of the ischemic area were performed.

Results : After surgery, the patient was discharged without any complications.

Conclusions : Although, robotic cholecystectomy with 8-mm robotic ports in non-midline sites has lower chances of occurrence, we recommend that surgeons carefully close the trocar sites, especially in cases of large fascial defect or high possibility of herniation.