Korean J Anesthesiol.  2010 Dec;59(Suppl):S41-S44. 10.4097/kjae.2010.59.S.S41.

Rhabdomyolysis after laparoscopic radical nephrectomy: A case report

• Kim TK
• Yoon JR
• Lee MH

• KMID: 2237349
• DOI: http://doi.org/10.4097/kjae.2010.59.S.S41

Abstract

Rhabdomyolysis is a rare but potentially lethal clinical syndrome that results from acute muscle fiber necrosis with leakage of muscle constituents into blood. This devastating disease could be due to muscle compression caused by urologic positioning for a lengthy nephrectomy. In this regard, laparoscopic renal surgery may be a risk for the development of rhabdomyolysis. This phenomenon of massive muscle necrosis can produce secondary acute renal failure. The risk factors have to be managed carefully during anesthetic management. Here, we report a case of a patient with rhabdomyolysis that developed in the flexed lateral decubitus position during laparoscopic nephrectomy.

Keyword

Acute renal failure; Flexed lateral decubitus position; Nephrectomy; Rhabdomyolysis

MeSH Terms

Acute Kidney Injury
Humans
Muscles
Necrosis
Nephrectomy
Rhabdomyolysis
Risk Factors