[Postoperative contralateral brachial plexus palsy after prolonged operation in lateral decubitus position].
We report a patient who developed postoperative contralateral brachial plexus palsy after prolonged surgery in lateral decubitus position. A 58-year-old man underwent hepatectomy because of metastatic liver tumor in left decubitus position. The surgical table was rotated anteriorly at 15 degrees. The surgery lasted for 7 hours and 50 minutes. After the surgery, he complained of limited arm elevation, hypesthesia of the arm, impaired flexion and extension of the elbow, on the right. These sensory and motor impairements resolved after rehabilitation for 7 days.
Yanaru
Tomoaki
T
Department of Anesthesiology, Fukuoka University Faculty of Medicine, Fukuoka 814-0180.
Sugi
Yasuyuki
Y
Higa
Kazuo
K
Katori
Kiyoshi
K
Shono
Shinjiro
S
Nitahara
Keiichi
K
D000767:Anesthesia, Epidural; D020516:Brachial Plexus Neuropathies / Q000209:etiology*; D004938:Esophageal Neoplasms / Q000473:pathology; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011187:Posture / Q000502:physiology*; D013997:Time Factors