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Japanese

A case of well leg compartment syndrome after laparoscopic low anterior resection Koki TAMAI 1 , Shu OKAMURA 1 , Tomohiro KITAHARA 1 , Takayuki MINOJI 1 , Noriyuki YAMAMURA 1 , Nariaki FUKUCHI 1 1Department of Surgery, Suita Municipal Hospital Keyword: 直腸癌 , 腹腔鏡下低位前方切除術 , コンパートメント症候群 pp.675-681
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.4426200609
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 A 78-year-old male underwent laparoscopic low anterior resection for rectal cancer. The patient complained of pain of the left calf immediately after surgery. The intracompartmental pressure was markedly increased to 96 mmHg and the diagnosis was compartment syndrome. Emergency fascitomy was performed ; the patient recovered without any subsequent complication. When the compartment syndrome occurs in a healthy non-traumatized leg, it is called a well leg compartment syndrome(WLCS) which is mainly caused by surgical position. Without emergent diagnosis and treatment, irreversible muscle or neurological disorder occurs. Combined use of elastic stocking and intermittent pneumatic compression device may increase the risk of developing WLCS in patients undergoing laparoscopic low anterior resection with head-down tilt. As there is no similar case in the past, we report this case with literature review.


Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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