Rhabdomyolysis after laparoscopic donor nephrectomy

Urology. 2002 Nov;60(5):911. doi: 10.1016/s0090-4295(02)01911-8.

Abstract

Rhabdomyolysis is a postoperative complication that may result in acute renal failure owing to excessive myoglobinuria. After uncomplicated laparoscopic left transperitoneal donor nephrectomy, a 32-year-old man developed anuric acute renal failure secondary to postoperative rhabdomyolysis that required intermittent hemodialysis for 2 weeks. The presumed risk factors in this case were the patient's high body mass index, intraoperative flank position with flexion, a solitary kidney, and the duration of surgery. Our current surgical technique has been modified to drop the kidney bridge early, immediately after visualization of the hilum.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / etiology*
  • Acute Kidney Injury / therapy
  • Adult
  • Body Mass Index
  • Humans
  • Laparoscopy
  • Male
  • Nephrectomy / methods*
  • Postoperative Complications*
  • Renal Dialysis
  • Rhabdomyolysis / etiology*
  • Rhabdomyolysis / therapy
  • Tissue and Organ Harvesting / methods