[Evaluation of splenectomy and possible metastasis from gastric cancer, with reference to nonspecific immunological parameters and postoperative survival].
For the complete removal of metastasized lymph nodes at splenic hilus in the operation for gastric cancer, the splenectomy has been widely accepted. In order to reveal justifiable of such splenectomy, nonspecific immunological parameters and postoperative survival were compared between the groups of splenectomized (S) and nonsplenectomized cases (N) in the same stage of gastric cancer. The immunological parameters in N were more stable after surgery than those in S. As to the postoperative survival there was no significant difference. The survival rates showed no definite difference. The postoperative platelet count of S was higher than that of N. It may be concluded that the splenectomy should be avoided unless the metastases are remarkable.
D000818:Animals; D005069:Evaluation Studies as Topic; D006801:Humans; D007113:Immunity, Innate; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000517:prevention & control*; D051379:Mice; D013154:Spleen; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000276:immunology* / Q000401:mortality / Q000601:surgery