後腹膜リンパ節郭清術後の急性腎不全の1例

Abstract

A 35-year-old man underwent radical orchiectomy under the diagnosis of right testicular tumor on August 5, 1981. Pathological findings of the tumor revealed teratoma with seminoma, embryonal carcinoma and choriocarcinoma. Chemotherapy with bleomycin, vincristine and cyclophosphamide was started postoperatively. An adverse reaction to the anticancerous drugs occurred 3 days later. Thus chemotherapy was stopped two weeks later. On September 29, 1981, he underwent a retroperitoneal lymphadenectomy under four hours of NLA anesthesia. Acute renal failure with complete anuria developed just after the operation. Hemodialysis was begun on the third postoperative day. Possible causes inducing the renal failure are discussed.