Role of Distal Pancreatectomy on the Prognosis of Gastric Cancer Patients Undergoing Total Gastrectomy
위암 환자의 위전절제술시 원위부 췌장절제가 예후에 미치는 역할
한, 상욱; 조, 용관; 김, 봉완; 김, 태희; 김, 명욱
Taehan Am Hakhoe chi, 31(5):955-963, 1999
Taehan Am Hakhoe chi; Journal of Korean Cancer Association; 대한암학회지
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 gastrec- tomy for gastric carcinoma with serosal invasion. Of these, 75 underwent pancreas pre- serving 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 meta- static lymph nodes around the splenic artery could be recommended for the purpose of radical lymph node dissection.
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