From: Efficacy of prophylactic splenectomy for proximal advanced gastric cancer invading greater curvature
Splenectomy (n = 63) | Spleen preservation (n = 45) | p value | |
---|---|---|---|
(a) Postoperative complications | |||
Morbidity (CD grade 2 or higher) | 19 (30.2%) | 6 (13.3%) | 0.041 |
Pancreatic related | 11 | 0 | 0.003 |
(Pancreatic fistula/abdominal abscess) | (17.4%) | (0%) | |
Ileus | 2 | 1 | 0.767 |
Anastomotic leakage | 2 | 3 | 0.395 |
Postoperative bleeding | 1 | 1 | 0.809 |
Anastomotic stenosis | 2 | 0 | 0.261 |
Other | 1 | 1 | 0.809 |
(b) Postoperative outcome | |||
Number of recurrence | 22 (34.9%) | 15 (33.3%) | 0.864 |
Borrmann macroscopic type | 0.538 | ||
Type 1 or 2 | 4 | 4 | |
Type 3, 4, or 5 | 18 | 11 | |
Main recurrent patterns | |||
Peritoneal dissemination | 17 (27.0%) | 9 (20.0%) | 0.403 |
Distant metastasis (Liver, lung, abdominal wall) | 3 (4.8%) | 4 (8.9%) | 0.390 |
Lymph node metastasis | 2 (3.2%) | 2 (4.4%) | 0.731 |