| Autor: |
Suzuki, Katsunori, Sakata, Mayu, Tatsuta, Kyota, Sugiyama, Kosuke, Akai, Toshiya, Suzuki, Yuhi, Kawamura, Takafumi, Torii, Kakeru, Morita, Yoshifumi, Kikuchi, Hirotoshi, Hiramatsu, Yoshihiro, Fukazawa, Atsuko, Yamamoto, Masayoshi, Kurachi, Kiyotaka, Sakaguchi, Takanori, Takeuchi, Hiroya |
| Předmět: |
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| Zdroj: |
Surgery Today; Jan2023, Vol. 53 Issue 1, p145-152, 8p |
| Abstrakt: |
Purpose: Well-leg compartment syndrome (WLCS) is a potentially life-threatening postoperative complication related to the Lloyd–Davies surgical position, which can place increased external pressure on the calf region. We conducted this study to analyze external pressure changes, by applying a leg holder system to the left calf region of patients placed in the Lloyd–Davies position during laparoscopic surgery. Methods: The study participants were 50 patients who underwent laparoscopic surgery for colorectal cancer in the Lloyd–Davies position. We assessed the maximum external pressure (MEP) on the left calf region using a pressure-distribution measurement system. Intraoperative measurements were taken continuously, and the MEP was evaluated with the patient horizontal and every 30 min during surgery in the head and right-down tilt position. Results: The intraoperative MEP increased gradually when the patient was in the head and right-down tilt position and decreased when the patient was returned to the horizontal position. The MEP was higher in patients aged < 60 years, those who were obese, and those with a thick calf circumference. Both body mass index (BMI) and the maximum left calf circumference (MLCC) were found to correlate with the MEP. Conclusions: In addition to a high BMI, which is a well-known risk factor for WLCS, a high MLCC should be considered another risk factor, especially for patients under 60 years. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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