Is there a benefit of pancreaticosplenectomy with gastrectomy for advanced gastric cancer?
Background: In Japan, wide resection with extended lymph node dissection has been performed for advanced cancer with good prognosis. Pancreaticosplenectomy with gastrectomy is performed to facilitate dissection of the lymph nodes around the splenic artery. We attempted to evaluate the effects of pan...
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| Veröffentlicht in: | The American journal of surgery 2000-03, Vol.179 (3), p.237-242 |
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| creator | Kasakura, Yuichi Fujii, Masashi Mochizuki, Fumiro Kochi, Mitsugu Kaiga, Teruo |
| description | Background: In Japan, wide resection with extended lymph node dissection has been performed for advanced cancer with good prognosis. Pancreaticosplenectomy with gastrectomy is performed to facilitate dissection of the lymph nodes around the splenic artery. We attempted to evaluate the effects of pancreaticosplenectomy and splenectomy with gastrectomy for advanced gastric cancer.
Methods: Gastric cancer patients underwent splenectomy with gastrectomy (78 cases), pancreaticosplenectomy with gastrectomy (105 cases), or gastrectomy alone (1,755 cases). Survival rates were compared among the three groups for each factor of the depth of invasion, stage, and curability.
Results: There were no significant differences among the three groups. Pancreaticosplenectomy or splenectomy with gastrectomy to dissect lymph nodes does not improve survival but is associated with severe complications.
Conclusions: The spleen should be resected when a patient has clearly positive node metastasis around the splenic hilus and artery, and pancreaticosplenectomy be performed when the cancer lesion invades the pancreas. |
| doi_str_mv | 10.1016/S0002-9610(00)00293-2 |
| format | Article |
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Methods: Gastric cancer patients underwent splenectomy with gastrectomy (78 cases), pancreaticosplenectomy with gastrectomy (105 cases), or gastrectomy alone (1,755 cases). Survival rates were compared among the three groups for each factor of the depth of invasion, stage, and curability.
Results: There were no significant differences among the three groups. Pancreaticosplenectomy or splenectomy with gastrectomy to dissect lymph nodes does not improve survival but is associated with severe complications.
Conclusions: The spleen should be resected when a patient has clearly positive node metastasis around the splenic hilus and artery, and pancreaticosplenectomy be performed when the cancer lesion invades the pancreas.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(00)00293-2</identifier><identifier>PMID: 10827328</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abscesses ; Cancer ; Chi-Square Distribution ; Complications ; Disease ; Dissection ; Female ; Fistula ; Gastrectomy ; Gastrectomy - adverse effects ; Gastric cancer ; Gastrointestinal surgery ; Humans ; Japan ; Lymph Node Excision ; Lymph nodes ; Lymphatic Metastasis - pathology ; Lymphatic system ; Male ; Medical prognosis ; Medical records ; Metastases ; Metastasis ; Middle Aged ; Mortality ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local - pathology ; Neoplasm Staging ; Pancreatectomy - adverse effects ; Pancreatic cancer ; Prognosis ; Remission Induction ; Retrospective Studies ; Spleen ; Splenectomy ; Splenectomy - adverse effects ; Splenic artery ; Splenic Artery - surgery ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Surgical anastomosis ; Survival ; Survival Rate</subject><ispartof>The American journal of surgery, 2000-03, Vol.179 (3), p.237-242</ispartof><rights>2000 Excerpta Medica Inc.</rights><rights>2000. Excerpta Medica Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-c62954c7de5dc47f5764ee7b06fd6f723ff094de0f52b57420a156b4478646143</citedby><cites>FETCH-LOGICAL-c418t-c62954c7de5dc47f5764ee7b06fd6f723ff094de0f52b57420a156b4478646143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961000002932$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10827328$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kasakura, Yuichi</creatorcontrib><creatorcontrib>Fujii, Masashi</creatorcontrib><creatorcontrib>Mochizuki, Fumiro</creatorcontrib><creatorcontrib>Kochi, Mitsugu</creatorcontrib><creatorcontrib>Kaiga, Teruo</creatorcontrib><title>Is there a benefit of pancreaticosplenectomy with gastrectomy for advanced gastric cancer?</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Background: In Japan, wide resection with extended lymph node dissection has been performed for advanced cancer with good prognosis. Pancreaticosplenectomy with gastrectomy is performed to facilitate dissection of the lymph nodes around the splenic artery. We attempted to evaluate the effects of pancreaticosplenectomy and splenectomy with gastrectomy for advanced gastric cancer.
Methods: Gastric cancer patients underwent splenectomy with gastrectomy (78 cases), pancreaticosplenectomy with gastrectomy (105 cases), or gastrectomy alone (1,755 cases). Survival rates were compared among the three groups for each factor of the depth of invasion, stage, and curability.
Results: There were no significant differences among the three groups. Pancreaticosplenectomy or splenectomy with gastrectomy to dissect lymph nodes does not improve survival but is associated with severe complications.
Conclusions: The spleen should be resected when a patient has clearly positive node metastasis around the splenic hilus and artery, and pancreaticosplenectomy be performed when the cancer lesion invades the pancreas.</description><subject>Abscesses</subject><subject>Cancer</subject><subject>Chi-Square Distribution</subject><subject>Complications</subject><subject>Disease</subject><subject>Dissection</subject><subject>Female</subject><subject>Fistula</subject><subject>Gastrectomy</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastric cancer</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Japan</subject><subject>Lymph Node Excision</subject><subject>Lymph nodes</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Lymphatic system</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical records</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm Staging</subject><subject>Pancreatectomy - adverse effects</subject><subject>Pancreatic cancer</subject><subject>Prognosis</subject><subject>Remission Induction</subject><subject>Retrospective Studies</subject><subject>Spleen</subject><subject>Splenectomy</subject><subject>Splenectomy - adverse effects</subject><subject>Splenic artery</subject><subject>Splenic Artery - surgery</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Surgical anastomosis</subject><subject>Survival</subject><subject>Survival Rate</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkFtLBCEUgCWK2i4_oRCCqIcpdRx1niKiGyz0UL30Io5zLGN33XR2o3-f0ywRvQSCnuN3jp4PoX1KTimh4uyBEMKKWlByTMhJPtdlwdbQiCpZF1Spch2NfpAttJ3SWw4p5eUm2qJEMVkyNULPdwl3rxABG9zADJzvcHB4bmY2gum8DWk-yXnbhekn_vDdK34xqYurhAsRm3aZaWiHC2-x7cN4vos2nJkk2FvtO-jp-urx8rYY39_cXV6MC8up6gorWF1xK1uoWsulq6TgALIhwrXCSVY6R2reAnEVayrJGTG0Eg3nUgku8jw76GjoO4_hfQGp01OfLEwmZgZhkbTsh66JzODhH_AtLOIs_00zxSXntRIsU9VA2RhSiuD0PPqpiZ-aEt2r19_qde9Vk35l9bqvO1h1XzRTaH9VDa4zcD4AkGUsPUSdrIfenO916jb4f574AsSNkmE</recordid><startdate>20000301</startdate><enddate>20000301</enddate><creator>Kasakura, Yuichi</creator><creator>Fujii, Masashi</creator><creator>Mochizuki, Fumiro</creator><creator>Kochi, Mitsugu</creator><creator>Kaiga, Teruo</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20000301</creationdate><title>Is there a benefit of pancreaticosplenectomy with gastrectomy for advanced gastric cancer?</title><author>Kasakura, Yuichi ; Fujii, Masashi ; Mochizuki, Fumiro ; Kochi, Mitsugu ; Kaiga, Teruo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-c62954c7de5dc47f5764ee7b06fd6f723ff094de0f52b57420a156b4478646143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Abscesses</topic><topic>Cancer</topic><topic>Chi-Square Distribution</topic><topic>Complications</topic><topic>Disease</topic><topic>Dissection</topic><topic>Female</topic><topic>Fistula</topic><topic>Gastrectomy</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastric cancer</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Japan</topic><topic>Lymph Node Excision</topic><topic>Lymph nodes</topic><topic>Lymphatic Metastasis - pathology</topic><topic>Lymphatic system</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical records</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Neoplasm Staging</topic><topic>Pancreatectomy - adverse effects</topic><topic>Pancreatic cancer</topic><topic>Prognosis</topic><topic>Remission Induction</topic><topic>Retrospective Studies</topic><topic>Spleen</topic><topic>Splenectomy</topic><topic>Splenectomy - adverse effects</topic><topic>Splenic artery</topic><topic>Splenic Artery - surgery</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Surgical anastomosis</topic><topic>Survival</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kasakura, Yuichi</creatorcontrib><creatorcontrib>Fujii, Masashi</creatorcontrib><creatorcontrib>Mochizuki, Fumiro</creatorcontrib><creatorcontrib>Kochi, Mitsugu</creatorcontrib><creatorcontrib>Kaiga, Teruo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kasakura, Yuichi</au><au>Fujii, Masashi</au><au>Mochizuki, Fumiro</au><au>Kochi, Mitsugu</au><au>Kaiga, Teruo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is there a benefit of pancreaticosplenectomy with gastrectomy for advanced gastric cancer?</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2000-03-01</date><risdate>2000</risdate><volume>179</volume><issue>3</issue><spage>237</spage><epage>242</epage><pages>237-242</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Background: In Japan, wide resection with extended lymph node dissection has been performed for advanced cancer with good prognosis. Pancreaticosplenectomy with gastrectomy is performed to facilitate dissection of the lymph nodes around the splenic artery. We attempted to evaluate the effects of pancreaticosplenectomy and splenectomy with gastrectomy for advanced gastric cancer.
Methods: Gastric cancer patients underwent splenectomy with gastrectomy (78 cases), pancreaticosplenectomy with gastrectomy (105 cases), or gastrectomy alone (1,755 cases). Survival rates were compared among the three groups for each factor of the depth of invasion, stage, and curability.
Results: There were no significant differences among the three groups. Pancreaticosplenectomy or splenectomy with gastrectomy to dissect lymph nodes does not improve survival but is associated with severe complications.
Conclusions: The spleen should be resected when a patient has clearly positive node metastasis around the splenic hilus and artery, and pancreaticosplenectomy be performed when the cancer lesion invades the pancreas.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>10827328</pmid><doi>10.1016/S0002-9610(00)00293-2</doi><tpages>6</tpages></addata></record> |
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| subjects | Abscesses Cancer Chi-Square Distribution Complications Disease Dissection Female Fistula Gastrectomy Gastrectomy - adverse effects Gastric cancer Gastrointestinal surgery Humans Japan Lymph Node Excision Lymph nodes Lymphatic Metastasis - pathology Lymphatic system Male Medical prognosis Medical records Metastases Metastasis Middle Aged Mortality Neoplasm Invasiveness Neoplasm Recurrence, Local - pathology Neoplasm Staging Pancreatectomy - adverse effects Pancreatic cancer Prognosis Remission Induction Retrospective Studies Spleen Splenectomy Splenectomy - adverse effects Splenic artery Splenic Artery - surgery Stomach Neoplasms - pathology Stomach Neoplasms - surgery Surgical anastomosis Survival Survival Rate |
| title | Is there a benefit of pancreaticosplenectomy with gastrectomy for advanced gastric cancer? |
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