Prognostic Impact of Prophylactic Splenectomy for Upper-third Gastric Cancer: A Cohort Study

被引：0

作者：

Ito, Hiroaki ^{[1
]}

Inoue, Haruhiro ^{[1
]}

Odaka, Noriko ^{[1
]}

Satodate, Hitoshi ^{[1
]}

Mukai, Shumpei ^{[1
]}

Omoto, Tomokatsu ^{[1
]}

Takehara, Yusuke ^{[1
]}

Kudo, Shin-Ei ^{[1
]}

机构：

[1] Showa Univ No Yokohama Hosp, Ctr Digest Dis, Tsuzuki Ku, Yokohama, Kanagawa 2248503, Japan

来源：

ANTICANCER RESEARCH | 2013年 / 33卷 / 01期

关键词：

Gastric cancer; splenectomy; lymph node metastasis; LYMPH-NODE METASTASIS; TOTAL GASTRECTOMY; FREQUENCY; CT;

D O I：

暂无

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Aim: The aim of this study was to investigate the effect of splenectomy on survival outcomes and recurrence in patients who underwent curative surgery for gastric cancer. Patients and Methods: This is a retrospective study of 129 patients who underwent upper-third gastric cancer curative resection with lymphadenectomy. Forty-two patients (32%) also underwent splenectomy. Results: The median follow-up period was 33 months. Approximately 40% of the patients had lymph node metastases; four of them had nodal involvement along the splenic artery and 5 had nodal involvement at the splenic hilum. No patients in the pT1-2 group with nodal metastases had involvement of the splenic hilar lymph nodes. There was no significant association between splenectomy and either overall or disease-free survival in the patients. Conclusion: Splenectomy should not be performed in patients with pT1-2 tumors for prophylactic lymphadenectomy.

引用

页码：277 / 282

页数：6

共 24 条

[1] Prognosis of metastatic splenic hilum lymph node in patients with gastric cancer after total gastrectomy and splenectomy [J].