J Korean Cancer Assoc.  1999 Oct;31(5):955-963.

Role of Distal Pancreatectomy on the Prognosis of Gastric Cancer Patients Undergoing Total Gastrectomy

Affiliations
  • 1Department of Surgery, Ajou University School of Medicine, Suwon, Korea.

Abstract

PURPOSE: A distal pancreatectomy was often simultaneously performed with splenectomy and total gastrectomy in the treatment of gastric carcinoma for complete removal of lymph nodes around the splenic artery. However, pancreatic juice leakage, subphrenic abscess, and postoperative diabetes were common complications in patients treated by pancreas resection. We performed a retrospective analysis to evaluate the role of distal pancreatectomy on the prognosis of gastric cancer patients.
MATERIALS AND METHODS
The effect of distal pancreatectomy on survival was studied by examination of the records of 120 patients who underwent splenectomy and total gastrectomy for gastric carcinoma with serosal invasion. Of these, 75 underwent pancreas preserving splenectomy and 45 underwent pancreaticosplenectomy. Prognostic factors and postoperative complications were evaluated according to the operation types.
RESULTS
The addition of distal pancreatectomy to splenectomy with total gastrectomy for patients with gastric cancer was not associated with severe complications. And patients underwent pancreaticosplenectomy showed similar survival as those underwent pancreas preserving splenectomy.
CONCLUSION
Distal pancreatectomy for the gastric cancer patients with suspected metastatic lymph nodes around the splenic artery could be recommended for the purpose of radical lymph node dissection.

Keyword

Gastric carcinoma; Total gastrectomy; Splenectomy; Distal pancreatectomy

MeSH Terms

Gastrectomy*
Humans
Lymph Node Excision
Lymph Nodes
Pancreas
Pancreatectomy*
Pancreatic Juice
Postoperative Complications
Prognosis*
Retrospective Studies
Splenectomy
Splenic Artery
Stomach Neoplasms*
Subphrenic Abscess
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