Korean J Anesthesiol.  2009 Mar;56(3):328-329. 10.4097/kjae.2009.56.3.328.

Common peroneal nerve palsy after robotic assisted laparoscopic colectomy: A case report

• Park SJ
• Choi SU
• Shin HW
• Lee HW
• Lim HJ
• Yoon SM
• Chang SH

• KMID: 2238132
• DOI: http://doi.org/10.4097/kjae.2009.56.3.328

Abstract

Common peroneal nerve palsy after surgery with lithotomy position has been widely reported, but it is an unexpected complication after surgery with supine position. We report a patient who developed common peroneal nerve palsy after surgery with supine position. A 55-year old man is planed for robotic assisted laparoscopic right hemicolectomy because of colon cancer. The patient was placed supine with Trendelenburg position at an angle about 5 degrees and tilted left about 15 degrees. The operation is uneventful, but he developed common peroneal nerve palsy on the first postoperative day. The patient was fully recovered with conservative treatment after 2 months. We consider that nerve palsy as a result of compression of common peroneal nerve related to patient positioning. So we should be careful not to develop common peroneal nerve palsy even if the patient was placed in the supine position during robotic assisted surgery.

Keyword

Common peroneal nerve palsy; Supine position; Robotic assisted surgery

MeSH Terms

Colonic Neoplasms
Head-Down Tilt
Humans
Paralysis
Patient Positioning
Peroneal Nerve
Supine Position