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ID 117026
Title Alternative
Compartment Syndrome after Prostatectomy
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
Keywords
Robot-assisted Laparoscopic radical prostatectomy
well leg compartment syndrome
adverse event
Content Type
Journal Article
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.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
Publisher
Tokushima University Faculty of Medicine
Volume
69
Issue
1-2
Start Page
145
End Page
147
Sort Key
145
Published Date
2022-02
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher