University College London Hospital, London, UK.
BJU Int. 2013 Aug;112(4):485-8. doi: 10.1111/bju.12201.
To evaluate the incidence of lower limb compartment syndrome (LLCS) in robot-assisted radical prostatectomy (RARP) and the prevalence of risk factors in patients with LLCS.
Data were collected from 17 UK robotic surgery institutions for a multicentre analysis. Data were used to calculate the incidence of LLCS and the prevalence of risk factors.
A total of 3110 RARPs were performed by 17 institutions between 2004 and 2011. There were nine cases of LLCS, giving an incidence of 0.29%. Seven of these required fasciotomy. The prevalence of risk factors was as follows: console time >4 h in 8/9 cases, early learning curve (<20 cases) in 3/9 cases; obesity (BMI >30 kg/m(2) ) in 5/9 cases; and peripheral vascular disease in 2/9 cases. One patient with LLCS was positioned incorrectly.
The serious complication LLCS occurs in RARP but has a low incidence. Long operating times, surgical inexperience, poor patient positioning, obesity and vascular disease appear to be risk factors.
评估机器人辅助根治性前列腺切除术（RARP）中下肢间隔综合征（LLCS）的发生率及 LLCS 患者的危险因素患病率。
对 17 家英国机器人手术机构的数据进行了一项多中心分析。这些数据被用于计算 LLCS 的发生率和危险因素的患病率。
2004 年至 2011 年间，17 家机构共进行了 3110 例 RARP。有 9 例发生了 LLCS，发病率为 0.29%。其中 7 例需要行筋膜切开术。危险因素的患病率如下：9 例中有 8 例控制台时间>4 小时，3 例处于早期学习曲线（<20 例），5 例肥胖（BMI>30kg/m2），2 例外周血管疾病。1 例发生 LLCS 的患者定位不当。
在 RARP 中发生了严重的并发症 LLCS，但发病率较低。长时间的手术时间、手术经验不足、患者定位不佳、肥胖和血管疾病似乎是危险因素。
