Three patients with well leg compartment syndrome after laparoscopic surgery for rectal cancer Makiko TAHARA 1 , Hisanaga HORIE 1 , Yuko KUMAGAI 1 , Yoshiyuki INOUE 1 , Koji KOINUMA 1 , Naohiro SATA 1 1Department of Surgery, Jichi Medical University Keyword: 下肢コンパートメント症候群 , 直腸癌 , 腹腔鏡下手術 pp.245-252
Published Date 2019/5/15
DOI https://doi.org/10.11477/mf.4426200702
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 Patient 1 : A 57-year-old man with rectal cancer (cT3N1M0) underwent laparoscopic low anterior resection with diverting stoma. Patient 2 : A 54-year-old man with rectal cancer (cT2N0M0) underwent laparoscopic low anterior resection. Patient 3 : A 67-year-old man with rectal cancer (cT3N3M0) underwent laparoscopic abdominoperineal resection with left lateral lymph node dissection. These patients were in lithotomy position with head and right side down during surgery. The operative times were 575, 310 and 619 minutes respectively. All three patients developed induration, swelling and pain in the left leg after operation. Computed tomography scan showed low density and muscle edema of the left leg, suggesting well leg compartment syndrome. The patients improved with conservative treatment. We report these three patients with a review of the literature, and suggest a strategy for preventing well leg compartment syndrome.

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