Oter Volkan, Dalgic Tahsin, Ozer Ilter, Colakoglu Kadri, Cayci Murat, Ulas Murat, B Bostanci Erdal, Musa Akoglu
Department of Gastroenterological Surgery, School of Medicine, Sakarya University. Sakarya/Türkiye.
Department of Gastroenterological Surgery, Turkiye YuksekIhtisas Teaching and Research, Hospital, Ankara/Türkiye.
Euroasian J Hepatogastroenterol. 2018 Jul-Dec;8(2):108-111. doi: 10.5005/jp-journals-10018-1274. Epub 2019 Feb 1.
A famous prognostic ingredient for gastric cancer is the lymph node metastasis. Previously in the therapy of gastric cancer, splenectomy was considered as a definitive part of lymph node dissection. Currently, preservation of the spleen is the accepted approach during total gastrectomy and routine splenectomy is abandoned. The aim of this study was to estimate the impression of splenectomy for D2 lymph node dissection with total gastrectomy.
Between February 1998 and January 2012, 1531 patients underwent gastric cancer surgery. Of these 257 patients, 205 patients underwent total gastrectomy with splenectomy, and the remaining 52 underwent a spleen-preserving total gastrectomy.
No statistical difference between these two groups in terms of age, gender, comorbidity, stage and American Society of Anesthesiologists score, surgical complications were detected. A significant difference was not seen in these groups with regard to postoperative mortality too.
Early postoperative results were similar after TG ± splenectomy. Performing splenectomy did not increase the postoperative morbidity and mortality. Oter V, Dalgic T, Ozer I, Colakoglu K, Cayci M, Ulas M, Bostanci EB, Akoglu M. Comparison of Early Postoperative Outcomes after Total Gastrectomy and D2 Lymph Node Dissection with and without Splenectomy. Euroasian J Hepatogastroenterol, 2018;8(2):108-111.
胃癌一个著名的预后因素是淋巴结转移。以前在胃癌治疗中，脾切除术被视为淋巴结清扫的一个决定性部分。目前，保留脾脏是全胃切除术中被认可的方法，常规脾切除术已被摒弃。本研究的目的是评估全胃切除术中D2淋巴结清扫时脾切除术的影响。
1998年2月至2012年1月期间，1531例患者接受了胃癌手术。其中257例患者中，205例行全胃切除术加脾切除术，其余52例行保留脾脏的全胃切除术。
两组在年龄、性别、合并症、分期和美国麻醉医师协会评分方面无统计学差异，未检测到手术并发症。两组在术后死亡率方面也未观察到显著差异。
全胃切除术±脾切除术后早期结果相似。行脾切除术并未增加术后发病率和死亡率。奥特·V、达尔吉克·T、奥泽尔·I、科拉科格鲁·K、凯西·M、乌拉斯·M、博斯坦奇·E·B、阿科格鲁·M。全胃切除术和D2淋巴结清扫术伴或不伴脾切除术的术后早期结果比较。《欧亚肝脏胃肠病学杂志》，2018年；8(2)：108 - 111。
