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Updated: May 30, 2026
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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
Radical gastrectomy with combined splenectomy: unnecessary
Xue Xin Yao1, Birendra Kumar Sah, Min Yan
1Department of General Surgery, Rui Jin Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai Institute of Digestive Surgery, Shanghai, China.
Hepato-Gastroenterology
|August 12, 2011
Summary
Spleen-preserving surgery for gastric cancer offers similar survival rates to splenectomy but with significantly lower postoperative complications. This approach is a viable option for patients undergoing radical gastrectomy.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Clinical Research
Background:
- Gastric cancer surgery often involves lymphadenectomy, with or without splenectomy.
- The prognostic value of combining splenectomy with radical gastrectomy requires further analysis.
Purpose of the Study:
- To evaluate the prognostic impact of spleen-preserving modified radical lymphadenectomy versus splenectomy in gastric cancer patients.
Main Methods:
- A retrospective study compared 61 patients undergoing spleen-preserving lymphadenectomy with 51 patients undergoing splenectomy after radical gastrectomy.
- Outcomes assessed included postoperative morbidity and 5-year survival rates.
Main Results:
- No significant differences in baseline characteristics or overall 5-year survival rates were observed between the two groups.
- The spleen-preservation group showed a significantly lower postoperative morbidity rate (11.5%) compared to the splenectomy group (27.5%).
Conclusions:
- Spleen-preserving modified radical lymphadenectomy demonstrates comparable 5-year survival rates to splenectomy in gastric cancer patients.
- This spleen-preserving approach is associated with reduced postoperative morbidity, suggesting it as a favorable alternative.
