Fabuel Deltoro M, Ramos de Campos M, Juan Escudero J, de la Cruz Torrijos F Serrano, Montoliu García A, Marqués Vida E, Navalón Verdejo P
Servicio de Urologia, Consorcio Hospital General Universitario de Valencia, Valencia, España.
Arch Esp Urol. 2008 Sep;61(7):823-5.
To show the clinical management of rhabdomyolysis secondary to laparoscopic surgery and how clinical treatment may be enough for adequate resolution.
Laparoscopic nephrectomy is a routine technique, which may have associated morbidity. We present one case of rhabdomyolysis which presented as gluteal pain and functional impotency, together with skin lesions, acute renal failure and elevated muscle enzymes.
In our case, the patient had a satisfactory outcome with medical treatment. We perform a bibliographic review in which we identify multiple risk factors, such as body mass index, surgical time, position during operation with lateral decubitus and 40-60 degrees flexion. Prevention is the most important factor to avoid acute renal failure secondary to myoglobin.
Prevention, early detection, and immediate start of therapeutic measures are essential for the good resolution of rhabdomyolysis after surgery.
展示腹腔镜手术后横纹肌溶解症的临床处理方法以及临床治疗如何足以实现充分缓解。
腹腔镜肾切除术是一种常规技术，可能伴有相关并发症。我们报告一例横纹肌溶解症病例，表现为臀部疼痛、功能障碍，伴有皮肤损伤、急性肾衰竭和肌酶升高。
在我们的病例中，患者经药物治疗后预后良好。我们进行了文献综述，确定了多个风险因素，如体重指数、手术时间、侧卧位手术时40-60度屈曲的体位。预防是避免因肌红蛋白导致急性肾衰竭的最重要因素。
预防、早期发现和立即开始治疗措施对于手术后横纹肌溶解症的良好缓解至关重要。
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