Hasegawa Makoto, Ohara Nobuyoshi, Mukai Satoru, Miyake Yuichiro, Maeda Sakae, Nakahira Shin, Nakata Ken, Makari Yoichi, Fujita Junya, Shibano Masaru, Ohzato Hiroki
Dept. of Surgery, Sakai City Medical Center.
Gan To Kagaku Ryoho. 2020 Dec;47(13):2233-2235.
Here, we report a case of ascending colon cancer successfully treated with laparoscopic right hemicolectomy in a 74- year-old man with a medical history of hemophilia A. He was admitted to our hospital because of bloody stool and diagnosed with type 2 ascending colon cancer based on colonoscopy findings. Preoperatively, blood transfusion and administration of recombinant factor Ⅷ products were performed. Surgery involved laparoscopic right hemicolectomy plus group 3 lymph node dissection. No complications, such as bleeding, occurred during hospitalization. The patient was discharged on postoperative day 8. There have been a few reports of laparoscopic surgery for patients with hemophilia. However, this case suggests that it can be safely performed with planned factor Ⅷ supplementation in the perioperative period.
