title: Lower limb compartment syndrome as a complication of robot-assisted radical prostatectomy: the UK experience.
abstract: OBJECTIVE
  To evaluate the incidence of lower limb compartment syndrome (LLCS) in robot-assisted radical prostatectomy (RARP) and the prevalence of risk factors in patients with LLCS.
  
  
  METHODS
  Data were collected from 17 UK robotic surgery institutions for a multicentre analysis. Data were used to calculate the incidence of LLCS and the prevalence of risk factors.
  
  
  RESULTS
  A total of 3110 RARPs were performed by 17 institutions between 2004 and 2011. There were nine cases of LLCS, giving an incidence of 0.29%. Seven of these required fasciotomy. The prevalence of risk factors was as follows: console time >4 h in 8/9 cases, early learning curve (<20 cases) in 3/9 cases; obesity (BMI >30 kg/m(2) ) in 5/9 cases; and peripheral vascular disease in 2/9 cases. One patient with LLCS was positioned incorrectly.
  
  
  CONCLUSIONS
  The serious complication LLCS occurs in RARP but has a low incidence. Long operating times, surgical inexperience, poor patient positioning, obesity and vascular disease appear to be risk factors.
authors.affiliation: University College London Hospital, London, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Pridgeon
authors.forename: Conrad V
authors.initials: CV
authors.lastname: Bishop
authors.forename: Jim
authors.initials: J
authors.lastname: Adshead
mesh_terms: D003161:Compartment Syndromes / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D035002:Lower Extremity; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods*; D012371:Robotics; D006113:United Kingdom
keywords: compartment syndrome; complication; prostate cancer; prostatectomy; robot