title: [A case of laparoscopic partial hepatectomy and splenectomy for hepatocellular carcinoma and pancytopenia].
abstract: A 69-year-old woman with chronic hepatitis B and esophageal varices was admitted to our hospital because of a hepatocellular carcinoma( HCC) measuring 3 cm in segment S3. Computed tomography( CT) scan revealed splenomegaly, and the platelet count was 6.0×104/μL. Partial hepatectomy and splenectomy were performed sequentially under laparoscopic guidance in a right half-lateral decubitus position, using 7 working ports. The operation time was 237 min, and the amount of bleeding was 26 mL. Her postoperative course was uneventful, and she was discharged on the 10th day after the operation.
authors.affiliation: Dept. of Gastroenterological Surgery, Saitama Cancer Center.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakamura
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Ehara
authors.forename: Hideki
authors.initials: H
authors.lastname: Ishikawa
authors.forename: Toshiro
authors.initials: T
authors.lastname: Ogura
authors.forename: Isao
authors.initials: I
authors.lastname: Kikuchi
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Noda
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: Hidetsugu
authors.initials: H
authors.lastname: Hanawa
authors.forename: Daiji
authors.initials: D
authors.lastname: Oka
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Yamada
authors.forename: Takashi
authors.initials: T
authors.lastname: Fukuda
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Yatsuoka
authors.forename: Katsumi
authors.initials: K
authors.lastname: Amikura
authors.forename: Yoji
authors.initials: Y
authors.lastname: Nishimiura
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Kawashima
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Sakamoto
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Tanaka
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D005260:Female; D006498:Hepatectomy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000601:surgery*; D010198:Pancytopenia / Q000601:surgery*; D013156:Splenectomy