The Significance of Splenectomy for Advanced Proximal Gastric Cancer
Joint Authors
Matsuki, Atsushi
Nashimoto, Atsushi
Yabusaki, Hiroshi
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objectives.
The significance of splenectomy in advanced proximal gastric cancer is examined retrospectively.
Methods.
From 1994 to 2004, 505 patients with advanced proximal gastric cancer underwent curative total gastrectomy with preserving spleen (T) for 264 patients and total gastrectomy with splenectomy (ST) for 241 patients.
Results.
Patients who underwent splenectomy showed more advanced lesions.
The metastatic rate of lymph node (LN) in the splenic hilus (No.
10) in ST was 18.3%.
As for the incidence of surgical complications, there was not statistically difference except for pancreatic fistula.
The index of estimated benefit of (No.
10) LN was 4.2, which was similar to that of (No.
9), (No.
11p), (No.
11d), and (No.
16) LNs.
5-year survival rate of (No.
10) positive group was 22.2%.
5-year survival rates of pSE and pN2 in T group were better than that of pSE and pN2 in ST, respectively.
The superiority of ST was not confirmed even in Stage II, IIIA, and IIIB.
Conclusion.
Splenectomy was not effective for patients with (No.
10) metastasis in long-term survival.
Spleen-preserving total gastrectomy will be feasible and be enough to accomplish radical surgery for locally advanced proximal gastric cancer.
American Psychological Association (APA)
Nashimoto, Atsushi& Yabusaki, Hiroshi& Matsuki, Atsushi. 2012. The Significance of Splenectomy for Advanced Proximal Gastric Cancer. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-461607
Modern Language Association (MLA)
Nashimoto, Atsushi…[et al.]. The Significance of Splenectomy for Advanced Proximal Gastric Cancer. International Journal of Surgical Oncology No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-461607
American Medical Association (AMA)
Nashimoto, Atsushi& Yabusaki, Hiroshi& Matsuki, Atsushi. The Significance of Splenectomy for Advanced Proximal Gastric Cancer. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-461607
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461607