[Validation of spleen-saving operations and spleen re-plantation in surgical treatment of stomach cancer].

The report presents an evaluation of the surgery given to 587 stomach cancer patients at the Republican Oncological Dispensary (1995-2005). There were 2 groups--surgery for tumor combined with lymph dissection D2 and cytoreduction (R1 and R2), on the one hand, and controls (standard, palliative and diagnostic operations), on the other. Splenectomy was performed in group 1 in 71.4%. According to complication and lethality assessment, surgery for tumor combined with splenectomy involved relatively higher complication incidence. Moreover, the end results of such treatment were as good as those in cases without splenectomy. Hence, spleen re-plantation into the round ligament of the liver may be a procedure of choice when the spleen cannot be saved.