Postoperative rhabdomyolysis following robotic renal and adrenal surgery: a cautionary tale of compounding risk factors.

Published

Journal Article

This study aimed at reviewing a contemporary series of patients who underwent robotic renal and adrenal surgery by a single surgeon at a tertiary referral academic medical center over a 6-year period, specifically focusing on the unique and serious complication of post-operative rhabdomyolysis of the dependent lower extremity. The cases of 315 consecutive patients who underwent robotic upper tract surgery over a 6-year period from August 2008 to June 2014 using a standardized patient positioning were reviewed and analyzed for patient characteristics and surgical variables that may be associated with the development of post-operative rhabdomyolysis. The incidence of post-operative rhabdomyolysis in our series was 3/315 (0.95%). All three affected patients had undergone robotic nephroureterectomy. Those patients who developed rhabdomyolysis had significantly higher mean Body Mass Index, Charlson Comorbidity Index, and median length of stay than those who did not. The mean OR time in the rhabdomyolysis group was noted to be 52 min longer than the non-rhabdomyolysis group, though this value did not reach statistical significance. Given the trends of increasing obesity in the United States and abroad as well as the continued rise in robotic upper tract urologic surgeries, urologists need to be increasingly vigilant for recognizing the risk factors and early treatment of the unique complication of post-operative rhabdomyolysis.

Full Text

Duke Authors

Cited Authors

  • Terry, RS; Gerke, T; Mason, JB; Sorensen, MD; Joseph, JP; Dahm, P; Su, L-M

Published Date

  • September 2015

Published In

Volume / Issue

  • 9 / 3

Start / End Page

  • 195 - 200

PubMed ID

  • 26531199

Pubmed Central ID

  • 26531199

Electronic International Standard Serial Number (EISSN)

  • 1863-2491

Digital Object Identifier (DOI)

  • 10.1007/s11701-015-0515-2

Language

  • eng

Conference Location

  • England