Abstract
In a series of operated patients with advanced gastric cancer at the center, patients undergoing pancreato-splenectomy (PS) were compared with those undergoing pancreas preserving operation (PP) for the 5-year survival rate and postoperative quality of life (QOL) according to multivariate analysis. Subjects were 99 patients undergoing PS (PS group) and 47 patients undergoing PP (PP group) excluding those with early cancer of P0, H0. According to the multivariate analysis, a significantly favorable prognosis was noted in the PP group compared with the PS group. In cases of old histological stage III, the 5-year survival rate in the PP group was 66.7% (28 cases) versus 36.4% (66 cases) in the PS group, with a significant difference. Post operative complications, dressing and hospital stay in the PS group were more frequent and longer than thsoe of in the PP group. From these results, we support PP method for advanced proximal gastric cancer.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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