The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Randomized controlled trial to evaluate splenectomy in total gastrectomy for proximal gastric carcinoma. Ann Surg 2017; 265: 277-283.

Published: 30th March 2017

Authors: Sano T, Sasako M, Mizusawa J, Yamamoto S, Katai H, Yoshikawa T et al.

Conclusion

Splenectomy increased blood loss and perioperative complications, but did not affect 5-year survival in this study that included 505 procedures: 75.1 versus 76.4 per cent in those who had the spleen preserved.