Effect of splenectomy combined with radical total gastrectomy on the survival of patients with proximal gastric carcinoma
- VernacularTitle:脾切除并中上部胃癌根治性全胃切除术对患者生存的影响
- Author:
Junqiang CHEN
;
Wenhua ZHAN
;
Shirong CAI
;
Yunfei LU
- Publication Type:Journal Article
- Keywords:
SPLENECTOMY;
STOMACH NEOPLASMS/surg;
GASTRECTOMY;
SURVIVAL RATE
- From:
Chinese Journal of General Surgery
1993;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
0.05). Results The median survival of patients with splenectomy and without (splenectomy) was (507.4?318.6) days and (849.4?672.9) days,respectively.The patients without splenectomy survived (significantly) longer than those with splenectomy(P=0.046).The 1-year,3-year and 5-year survival rates of patients with splenectomy and without splenectomy were 61.18%, 8.23%, (0%) and (81.56%), 48.28%, 30.62%, respectively. Multivariate Cox regression analysis indicated that (only ) (splenectomy) was an independent prognostic factor (P=0.007). Conclusions The rates of postoperative complications and tumors recurrence were not influenced by splenectomy. Splenectomy did not prolong the survival time of patients with proximal gastric carcinoma who underwent radical total gastrectomy. Preservation of the spleen can prolong postoperative survival time and improve the survival rate in these patients.Splenectomy might only be (appropriate) for patients with direct invasion of the spleen.
