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| DOI | 10.1016/J.ACURO.2020.01.001 | ||
| Año | 2020 | ||
| Tipo |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
© 2020 AEUIntroduction and objectives: There are only thirty cases of rhabdomyolysis (RML) after laparoscopic partial nephrectomy (LPN) in the literature; no reports are available after robotic partial nephrectomy (RPN). Our objective is to describe the casuistry of the RML after RPN, as well as to review the clinical and analytical data of its presentation. Material and methods: Retrospective review (2011-2017) of patients who underwent RPN. The baseline characteristics and surgical data were collected. RML was characterized from a clinical and analytical point of view. Results: The review of 136 procedures showed an incidence of RML of 3.67% (5 patients), mainly young (mean: 42 years; range: 26-65) and obese men (mean 36.07 kg/m2; range: 30.3-48.6). The mean operative time was 194 minutes (range: 150-230). The key symptom for its suspicion was hip/gluteal region pain -contralateral to the operative site- in all cases. The median time to diagnosis was 6 hours (range: 6-48). Postoperative total creatine kinase (CK) reached its maximum level on the first postoperative day (mean: 28,766.7 IU/L; range: 4,170-54,544). Treatment was based on hydration, with the use of diuretics and bicarbonate in case of acute renal failure (ARF). At discharge, all patients had mild gluteal region/hip pain; additionally, one patient presented walking difficulties (functional limitation). All patients were asymptomatic at 1 month and had no long-term sequelae. Conclusions: RML after RPN is a rare complication that increases the morbidity and mortality of the procedure. It is important to know it in order to identify and treat it early.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Otaola-Arca, H. | - |
Clínica INDISA - Chile
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| 2 | Petros-Franco, A. | - |
Clínica INDISA - Chile
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| 3 | Moraga-Sanz | - |
Hospital Universitario de Getafe - España
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| 3 | Moraga-Sanz | - |
Hospital Universitario de Getafe - España
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| 4 | Vargas | - |
Hospital Nacional Hipólito Unanue - Perú
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| 4 | Vargas | - |
Hospital Nacional Hipólito Unanue - Perú
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| 5 | Herranz-Yagüe, J. A. | - |
Hospital Universitario de Fuenlabrada - España
|
| 6 | VIDAL-MORA, IVAR MAURICIO | Hombre |
Clínica INDISA - Chile
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| 7 | Rodríguez-Carlín, A. | - |
Clínica INDISA - Chile
|
| 8 | Castillo-Cádiz, O. | - |
Clínica INDISA - Chile
Universidad Nacional Andrés Bello - Chile |