J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2342KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 84(9): 947-951, 1983

Report on the annual meeting

EVALUATION OF SPLENECTOMY FOR POSSIBLE METASTASIS FROM GASTRIC CANCER, WITH REFERENCE TO NONSPECIFIC IMMUNOLOGICAL PARAMETERS AND POSTOPERATIVE SURVIVAL

Department of Surgery, Keio University School of Medicine, Tokyo, Japan

K. Yoshino, K. Asanuma, F. Haruyama, K. Kubochi, K. Suzuki, T. Inada, H. Konno, H. Kurihara, S. Okusawa, T. Kubota, K. Kumai, K. Ishibiki, O. Abe

For th complete removal of metastasized lymph nodes at splenic hilus in the operation for gastric cancer, the splenectomy has been widely accepted. In order to reveal justifiability of such splenectomy, nonspecific immunological parameters and postoperative survival were compared between the groups of splenectomized (S) and nonsplenectomized cases (N) in the same stage of gastric cancer. The immunological parameters in N were more stable after surgery than those in S. As to the postoperative survival there was no significant difference. The survival rates showed no defmite difference. The postoperative platelet count of S was higher than that of N.
It may be concluded that the splenectomy should be avoided unless the metastases are remarkable.

<< To previous pageTo next page >>

To read the PDF file you will need Adobe Reader installed on your computer.