Spleen-preserving gastrectomy lowers complication rates in proximal gastric cancer.
- Reduced pancreatic fistula risk (RR 0.30; p < 0.000001)
- Less blood loss (MD -172.47; p = 0.012396)
This approach supports safer patient outcomes when oncologic safety is prioritized.
- Lower risk of anastomotic leak (RR 0.51; p = 0.006769) and intra-abdominal abscess (RR 0.40; p = 0.000160) further strengthen the case for spleen preservation.
Review by Menegat ALRS, Menegat BLRS (…) de Moraes FCA et 4 al. in J Gastrointest Cancer
© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.