Bruce R G, Kim F H, McRoberts W
Department of Surgery, Division of Urology, University of Kentucky Chandler Medical Center, Lexington, 40536, USA.
Urology. 1996 Mar;47(3):427-30. doi: 10.1016/s0090-4295(99)80467-1.
Rhabdomyolysis and acute renal failure can be a rare but serious complication resulting from compromising operative positions following some urologic and gynecologic procedures. We report a lethal case of rhabdomyolysis following radical perineal prostatectomy. The possibility of this complication must be considered prior to performing any operation in the exaggerated lithotomy position. Prevention, early diagnosis, and aggressive treatment are the keys to a successful recovery.
横纹肌溶解症和急性肾衰竭可能是某些泌尿外科和妇科手术后因手术体位不当而导致的一种罕见但严重的并发症。我们报告一例根治性会阴前列腺切除术后发生横纹肌溶解症致死的病例。在采取极度截石位进行任何手术之前,必须考虑到这种并发症的可能性。预防、早期诊断和积极治疗是成功康复的关键。