2005 Abstracts: Does Splenectomy Influence the Outcome of Esophagectomy?
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Does Splenectomy Influence the Outcome of Esophagectomy?
Bareld Pultrum, GUMC Groningen University Medical Center, The Netherlands, Groningen, Groningen, Netherlands; Henderik van Westreenen, GUMC Groningen University Medical Center, Groningen, Groningen, Netherlands; James van Bastelaar, GUMC Groningen University Medical Center, Groningen, Groningen; Maarten Nijsten, Gooitzen van Dam, John Plukker, GUMC Groningen University Medical Center, Groningen, Groningen, Netherlands
Background:
Splenectomy seems to influence the survival in gastric cancer patients. There is not much data available about the outcome of patients who underwent splenectomy during esophagectomy. Therefore we investigated the effect of splenectomy in these patients. Material and Methods: Between January 1991 and July 2004, 210 esophageal cancer patients underwent esophagectomy. Retrospectively, medical records were reviewed to determine postoperative morbidity and mortality and to assess long-term survival. Results: Of these 210 patients (167 male / 43 female) 66 pts (31.4%) underwent a splenectomy (group I). Out of these 66 pts with a splenectomy 39 pts (59.1%) and 68 of the 144 pts (47.2%) without splenectomy (group II) developed postoperative complications (p=0.40). The mortality after surgery did not differ between the two groups (p=0.7). Hospital stay was not prolonged, however there was a difference in the administering of Red blood cells (RBC's) during surgery (p=0.001) and prolonged ICU stay (p=0.01) and OR time (p=0.001). The 1 and 5-year survival of 70% and 28% in group I and 71% and 43% for group II were not statistically different (p=0.09). Conclusions: There was no difference in mortality and morbidity after splenectomy during esophagectomy. Besides a higher use of blood transfusion there was a prolonged ICU stay and OR time. Splenectomy seems to have no effect on both the 1 and 5-year survival in these patients.
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