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Stilidi I.S.

FGBU "Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina" RAMN

Nered S.N.

Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina RAMN, Moskva

Glukhov E.V.

Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina RAMN, Moskva

Spleen-preserving D2-lymphodissection in gastric cancer surgery

Authors:

Stilidi I.S., Nered S.N., Glukhov E.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2015;(1): 41‑43

DOI: 10.17116/hirurgia22015141-43

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Table of contents

SPLEEN-PRESERVING D2-LYMPHODISSECTION IN GASTRIC CANCER SURGERY
SPLEEN-PRESERVING D2-LYMPHODISSECTION IN GASTRIC CANCER SURGERY

To cite this article:

Stilidi IS, Nered SN, Glukhov EV. Spleen-preserving D2-lymphodissection in gastric cancer surgery. Pirogov Russian Journal of Surgery. 2015;(1):41‑43. (In Russ.)
https://doi.org/10.17116/hirurgia22015141-43

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
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Abstract:

Oncological advisability of spleen removal during surgical treatment of gastric cancer is arguable at present time. It is presented technique of spleen-preserving D2-lymphodissection used for gastric body and proximal part cancer which was applied in 155 patients. Control group included 197 patients who underwent gastrectomy with splenectomy. Spleen-preserving D2-lymphodissection increased duration of surgery but decreased frequency of subdiaphragmatic abscess and pancreatic fistulas and duration of hospital stay. 5-years survival (Kaplan-Meier) was 59% in main group, in control group - 55% (p>0.05). We consider that spleen-preserving D2-lymphodissection is radical and safe surgical method for locally advanced cancer of gastric body and proximal part.

Keywords:

gastric cancer
lymphadenectomy
spleen-preserving lymphadenectomy
splenectomy

Authors:

Stilidi I.S.

FGBU "Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina" RAMN

Nered S.N.

Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina RAMN, Moskva

Glukhov E.V.

Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina RAMN, Moskva

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References:

  1. Stilidi I.S., Nered S.N., Glukhov E.V. Splenosokhrannaya D2-limfodissektsiya v khirurgii raka tela i proksimal'nogo otdela zheludka [Spleen-preserving D2-lymphadenectomy in cancer surgery of the body and proximal part of stomach]. Аnnaly khir 2012; 1: 52-57. (in Russian)
  2. Csendes A., Burdiles Р., Rojas J. et al. A prospective randomized study comparing D2 total gastrectomy versus D2 total gastrectomy plus splenectomy in 187 patients with gastric carcinoma. Surgery 2002; 131: 401-407.
  3. Fatouros M., Roukos D.H., Lorenz M. et al. Impact of spleen preservation in patients with gastric cancer. Anticancer Res 2005; 25: 3023-3030.
  4. Griffith J.P., Sue-Ling H.M., Martin I. et al. Preservation of the spleen improves survival after radical surgery for gastric cancer. Gut 1995; 36: 684-690.
  5. Kwon S. Prognostic Impact of splenectomy on gastric cancer: results of the Korean Gastric Cancer study group. Members of the Korean Gastric Cancer Study Group. World J Surg 1997; 21: 837-844.
  6. Oh S.J., Hyung W.J., Li C. et al. Effect of spleen-preserving lymphadenectomy on surgical outcomes of locally advanced proximal gastric cancer. Journal of Surgical Oncology 2009; 99: 275-280.
  7. Wanebo H.J., Kennedy B.J., Winchester D.P. et al. Role of splenectomy in gastric cancer surgery: adverse effect of elective splenectomy on longterm survival. J Am Coll Surg 1997; 185: 177-184.
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