Rhabdomyolysis after laparoscopic donor nephrectomy.
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.
Kuang
Wayne
W
Section of Laparoscopic and Minimally Invasive Surgery, Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Ng
Christopher S
CS
Matin
Surena
S
Kaouk
Jihad H
JH
El-Jack
Mohamed
M
Gill
Inderbir S
IS
D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D000328:Adult; D015992:Body Mass Index; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D011183:Postoperative Complications; D006435:Renal Dialysis; D012206:Rhabdomyolysis / Q000209:etiology* / Q000628:therapy; D020858:Tissue and Organ Harvesting / Q000379:methods