What is one potential complication from a prolonged laparoscopic procedure affecting the lower extremities?

One potential complication from a prolonged laparoscopic procedure affecting the lower extremities is a common fibular nerve injury. This nerve runs close to the surface of the body around the area of the knee and can be susceptible to compression. During laparoscopic surgeries, particularly when patients are in the lithotomy position or if their legs are positioned for extended periods, there is a risk of external pressure on the knee or leg which may lead to injury of this nerve.

Injury to the common fibular nerve can result in symptoms such as foot drop, where the patient is unable to dorsiflex the ankle. This can significantly affect mobility and may require physical therapy or rehabilitation to recover fully. Given the position and constraints of the patient during laparoscopic procedures, this nerve is particularly at risk in prolonged surgeries, making it a relevant complication to consider.