Case report details a successful laparoscopic right hemicolectomy in a patient with thrombocytopenia and comorbidities, indicating the procedure's safety and effectiveness.
Introduction : This case report analyzes the clinical symptoms, comorbidity factors, surgical approach, and postoperative outcomes of a patient with hepatic flexure cancer at UMHATEM “N. I. Pirogov” EAD. Case presentation : Clinical data for a 65-year-old woman with a colonic neoplasm, operated on in the Department of General, Visceral, and Emergency Surgery at UMHATEM “N. I. Pirogov” EAD on 30 January 2024, were analyzed. Comorbidity factors were idiopathic thrombocytopenic purpura (PLT 77,000) and Hashimoto’s disease. Surgery was performed after 5 days of preparatory therapy with platelet concentrate and methylprednisolone, resulting in PLT 89,000. Operative time was 189 min; blood loss was 70 mL. There were no intraoperative complications. Conclusion : Laparoscopic right hemicolectomy offers significant advantages, being both safe and effective. This approach yields favorable initial outcomes, including a reduced incidence of complications. Furthermore, it accords with essential oncologic tenets while maintaining comparable surgical durations.
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