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Rehabilitation Practice and Science

Translated Title

大腸癌手術後合併股神經損傷:病例報告

Abstract

Iatrogenic femoral nerve damage has already been described after retroperitoneal tumor resection, hysterectomy, abdominal rectoplexy and total hip arthroplasty etc., but never after ascending colon carcinoma resection. We report the occurrence of femoral nerve injury in a 76 years old male patients after the procedure of right hemicolectomy and debulking of the tumor. Neurological symptoms appeared immediately after surgery. Sensory deficit was evident with reduced sensation of the anterior surface of right thigh and knee. Weakness of quadriceps and iliopsoas muscles was obvious. Serial post-surgical (3 weeks, 2 months, and 6 months respectively) EMG examinations revealed severe denervations of R’t iliopsoas, quadriceps and rectus femoris without volitional potential, thus poor prognosis was expected. We believe femoral nerve damage was caused by direct injury in the en bloc excision of the invaded adenocarcinoma over the psoas muscle in this case.

Language

Traditional Chinese

First Page

159

Last Page

162

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