Two cases of bilateral upper extremity pareses during laparoscopic colectomy

We herein report on two cases of bilateral upper extremity pareses developing after laparoscopic colectomy. The first case is a 42-year-old man undergoing laparoscopic colectomy under general and epidural anesthesia. During the operation, he was in a combined lithotomy and Trendelenburg position wit...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 59; no. 12; p. 1494
Main Authors Imamura, Sachiko, Chinzei, Mieko, Yamada, Yoshitsugu
Format Journal Article
LanguageJapanese
Published Japan 01.12.2010
Subjects
Adult
Anesthesia, Epidural
Anesthesia, General
Brachial Plexus - injuries
Colectomy
Female
Humans
Laparoscopy
Male
Paresis - etiology
Paresis - therapy
Postoperative Complications - etiology
Postoperative Complications - therapy
Posture - physiology
Treatment Outcome
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Summary:We herein report on two cases of bilateral upper extremity pareses developing after laparoscopic colectomy. The first case is a 42-year-old man undergoing laparoscopic colectomy under general and epidural anesthesia. During the operation, he was in a combined lithotomy and Trendelenburg position with his arms abducted to 80 degrees and flexed slightly on padded armboards. Postoperatively, he complained of numbness of bilateral forearms. A diagnosis of hypoperfusion caused by arm band was made. His symptoms subsided in three days by physical training. The second case is a 36-year-old woman who developed injury in the brachial plexus after laparoscopic colectomy. We suspect that the nerve injury was caused by the overstretching of her neck with her head under general anesthesia in Trendelenburg position.
ISSN:0021-4892