[
Abstract]
[
Full Text PDF] （in Japanese / 2320KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 81(8): 731-735, 1980
Original article
APPRAISAL OF PROPHYLACTIC SPLENECTOMY IN PATIENTS WITH GASTRIC CANCER
It has been well accepted that extensive prophylactic lymphadenectomy is certainly effective for elevating cure rate after gastric cancer surgery, however, regarding to the prophylactic splenectomy the arguments are controversial. At the early half period from 1954 to 1962, we have actively performed prophylactic splenectomy when total gastrectomy was performed for gastric cancer, while at the last half we have done it conservatively, and compared them in terms of late survival rate. The patients were confined to a certain group of curative resection cases excluding the cases with relatively early as well as late stage. Four year survival rates of 47 non-splenectomy cases and 30 splenectomy cases were found to be 63 and 36 percent respectively, and the former was superior to the latter with significant difference (p＜0.05). Although further clinical and experimental study is needed to draw a definite conclusion, we have to take a prudent attitude in making indication for splenectomy for the patient without lymph node metastasis at the hilus of the spleen.
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