title: Lessons learned from a case of calf compartment syndrome after robot-assisted laparoscopic prostatectomy.
abstract: Robot-assisted laparoscopic prostatectomy is rapidly gaining favor as a minimally invasive method to surgically address prostate cancer. The sophisticated equipment and unique positioning requirements of this technology require exceptional preparation and attention to detail to minimize the chance of surgical complications. We present the case of a 57-year-old man who developed left calf compartment syndrome after (robot-assisted laparoscopic prostatectomy) requiring fasciotomies. We use this example to highlight specific areas of risk unique to the da Vinci Surgical System® using intraoperative photos to show danger areas as well as review basic positioning requirements common to all prolonged pelvic surgeries performed in Trendelenburg position.
authors.affiliation: Department of Urology, University of Iowa, Iowa City, Iowa, USA.
authors.forename: Henry M
authors.initials: HM
authors.lastname: Rosevear
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Lightfoot
authors.forename: Marta
authors.initials: M
authors.lastname: Zahs
authors.forename: Steve W
authors.initials: SW
authors.lastname: Waxman
authors.forename: Howard N
authors.initials: HN
authors.lastname: Winfield
mesh_terms: D003161:Compartment Syndromes / Q000209:etiology*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods*; D012371:Robotics