KMID : 1155520160110030318
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Anesthesia and Pain Medicine 2016 Volume.11 No. 3 p.318 ~ p.321
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Rhabdomyolysis after prolonged laparoscopic radical nephrectomy -A case report-
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Moon Ho-Sik
Kim Dong-Kyu Shin Sang-Ho Lee Ji-Young
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Abstract
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Rhabdomyolysis is characterized by the breakdown of skeletal muscle and the subsequent release of intracellular contents into the circulatory system. It is potentially life-threatening because it is sometimes associated with very high creatine kinase levels, myoglobinuria, and acute renal failure. We experienced a case of postoperative rhabdomyolysis after prolonged laparoscopic radical nephrectomy in the semi-lateral decubitus position. It was associated with suspicious gluteal compartment syndrome. Fortunately, the patient¡¯s renal function was normal through his hospital course. Rhabdomyolysis is well worth considering at the point of intraoperative positioning and postoperative care after prolonged surgery.
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KEYWORD
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Decubitus position, Gluteal compartment syndrome, Nephrectomy, Rhabdomyolysis
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