Laparoscopic Hepatectomy for the Patient with Hemophilia A with High Titer Factor VIII Inhibitor

• Matsuda Tatsuo

• Umeda Yuzo

• Yoshida Kazuhiro

• Matsuda Tadakazu

• Uno Masatoshi

• Abe Masaya

• Asada Noboru

• Maeda Yoshinobu

• Yagi Takahito

• Fujiwara Toshiyoshi

抄録

We present the first case of laparoscopic left lateral segmentectomy for hepatocellular carcinoma (HCC) in a patient with hemophilia A, acquired hepatitis C, and high-titer factor VIII inhibitor, which was confirmed by preoperative diagnosis. He underwent laparoscopic left lateral segmentectomy with the administration of recombinant activated factor VII. Surgery could be performed with reduced intraoperative hemorrhage. He experienced postoperative intra-abdominal wall hemorrhage, which was successfully managed with red cell concentrates transfusion and administration of recombinant activated factor VII. Laparoscopic hepatectomy can be applied for hemophilia patients with high titer inhibitors.

収録刊行物

• Acta Medica Okayama

  Acta Medica Okayama 75 (2), 199-204, 2021-04

  Okayama University Medical School

キーワード

• hemophilia A
• hepatectomy
• inhibitor
• laparoscopy
• hepatocellular carcinoma

詳細情報

• CRID: 1390853649825305088
• NII論文ID: 120007029886
• NII書誌ID: AA00508441
• ISSN: 0386300X
• DOI: 10.18926/amo/61901
• Web Site: https://ousar.lib.okayama-u.ac.jp/61901
• Web Site: https://search.jamas.or.jp/link/ui/2022085529
• 本文言語コード: en
• データソース種別:
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  • IRDB
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