• Mustafa Yeni and Tolga Kalayci.
• Department of General Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey.
• J Coll Physicians Surg Pak. 2022 Apr 1; 32 (4): 514-518.

ObjectiveTo evaluate the clinicopathological differences between splenectomy during gastric cancer surgery and splenectomy during extra-gastric abdominal cancer surgery.Study DesignObservational study.Place And Duration Of StudyErzurum Regional Education and Research Hospital, Erzurum, Turkey between January 2015 and January 2020.MethodologyPatients who were operated due to intra-abdominal malignancies were searched retrospectively. Among those patients, concomitant splenectomy cases were filtered for the study. The patients' general clinicopathological characteristics were retrieved from their medical records. Patients were divided into two groups, according to the objectives. The clinicopathological differences between the groups were evaluated with appropriate statistical tests, assuming significant p value of less than 0.05.ResultsThe study included 45 patients. The mean age of the patients was 62.84 ± 12.59 (30-86 years), and male to female ratio was 19:26. Splenectomy was performed during gastric cancer surgery in 30 patients (66.7%) and 43 patients (95.6%) were operated in elective conditions. There was a need for more erythrocyte suspension in patients, who underwent splenectomy during gastric cancer surgery (p=0.040). However, length of hospital stay and overall morbidity were higher at splenectomy with extra-gastric cancer group, (p = 0.036 and p = 0.011, respectively).ConclusionSplenectomy during gastric cancer surgery is more demanding; and requires more erythrocyte suspension. However, these patients had less morbidity tendencies. Length of stay was longer with splenectomy during extra-gastric abdominal cancer group.Key WordsSplenectomy, Gastric cancer, Length of stay, Morbidity.

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