Related Experiment Video
Updated: Mar 1, 2026
03:45
Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
Published on: January 25, 2010
14.8K
Brachial Plexus Injury After Right Hepatectomy
Garima Daga1, Prashant Balwant Kerkar1
1Department of Surgical Oncology, Bombay Hospital Marg, Marine Drive, Mumbai, Maharashtara 400020 India.
Indian Journal of Surgical Oncology
|May 27, 2017
Summary
Brachial plexus injury (BPI) is a rare complication of prolonged abdominal surgery. Early recognition and prevention are crucial for managing this iatrogenic nerve palsy, particularly after complex procedures like hepatectomy.
Area of Science:
- Neurology
- Surgical Complications
- Anatomy
Background:
- Iatrogenic nerve palsies commonly occur at the elbow and popliteal fossa due to patient positioning during surgery.
- Brachial plexus injury (BPI) is an increasingly reported, though rare, complication associated with complex and prolonged surgical procedures.
- Hepatobiliary surgical procedures, particularly hepatectomy, are identified as potential contexts for BPI.
Observation:
- A case report details a BPI in a 64-year-old patient following a prolonged right hepatectomy.
- The injury was attributed to faulty patient positioning on the operating table during the extensive abdominal surgery.
Findings:
- Prolonged abdominal surgery, including hepatectomy, presents a risk for iatrogenic brachial plexus injury.
- BPI following such procedures requires prompt recognition and appropriate management strategies.
Implications:
- Healthcare providers must consider BPI as a potential complication in patients undergoing lengthy abdominal surgeries.
- Awareness of BPI risk factors and early diagnostic approaches can improve patient outcomes.
- Implementing preventative measures related to patient positioning is essential for mitigating BPI during complex surgeries.
