ID | 117026 |
Title Alternative | Compartment Syndrome after Prostatectomy
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Author |
Endo, Yuki
Nippon Medical School
Akatsuka, Jun
Nippon Medical School
Kuwahara, Kosuke
Nippon Medical School
Takasaki, Suisen
Nippon Medical School
Takeda, Hayato
Nippon Medical School
Yanagi, Masato
Nippon Medical School
Toyama, Yuka
Nippon Medical School
Mikami, Hikaru
Nippon Medical School
Hamasaki, Tsutomu
Nippon Medical School
Kondo, Yukihiro
Nippon Medical School
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Keywords | Robot-assisted Laparoscopic radical prostatectomy
well leg compartment syndrome
adverse event
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Content Type |
Journal Article
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Description | Robot-assisted laparoscopic prostatectomy (RALP) for prostate cancer was introduced in 2000 and rapidly gained popularity. The Da Vinci Surgical System® can ensure improved local control of cancer and fewer perioperative complications. However, RALP is performed in the steep-Trendelenburg position (a combination of lithotomy and head-down tilt position / Lloyd-Davies position) to obtain a good surgical view, and as a result, well leg compartment syndrome (WLCS) can become a serious complication of RALP. Here, we report a case of WLCS after RALP. A 75-year-old man underwent surgery for prostate cancer and immediately complained of pain and numbness after surgery. The pressure of the four leg compartments increased. Ultimately, we diagnosed the patient with WLCS in his right leg, and an emergency fasciotomy was performed. He completely recovered with no permanent disability and was discharged one month after rehabilitation. Although WLCS after RALP is a rare and severe complication, the patient recovered completely with early diagnosis and intervention. Measuring the compartment pressure is useful when the patient is drowsy immediately after recovery from anesthesia. Preventing WLCS requires identifying this condition as a potential complication of RALP and all urologic surgeries performed in the lithotomy position.
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Journal Title |
The Journal of Medical Investigation
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ISSN | 13496867
13431420
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NCID | AA11166929
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Publisher | Tokushima University Faculty of Medicine
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Volume | 69
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Issue | 1-2
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Start Page | 145
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End Page | 147
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Sort Key | 145
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Published Date | 2022-02
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DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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