Two Cases of Distal Gastrectomy with Splenectomy for Gastric Cancers Combined with Hematologic Disorders

Hisayuki Shigematsu, Akira Kurita, Yutaka Ogasawara, Yoshiro Kubo, Shigemitsu Takashima and Yukio Sato^*

Department of Surgery, National Shikoku Cancer Center Hospital
Department of Surgical Oncology, Research Institute for Radiation
Biology and Medicine, Hiroshima University^*

We experience 2 cases of distal gastrectomy with splenectomy for gastric cancers combined with idiopathic thrombocytopenic purpura (ITP) and hereditary spherocytosis (HS) respectively. One patient was a 72-year-old woman with a diagnosis of ITP and gastric cancer in the stomach body (3' T₃N₁M₀). The other patient was a 62-year-old man with a diagnosis of HS, cholelithiasis, choledocholithiasis, hepatolithiasis and gastric cancer in the anterior wall of the stomach angle (0'-IIC T₁N₀M₀). In both cases, distal gastrectomy with splenectomy, with ligature of the left gastric artery at its trunk, preserving the short and posterior gastric vessels was performed. The course after the operation showed no serious complications such as ischemic necrosis of the gastric remnant or leaks from disruption of the suture line.

Key words
gastric cancer, hemorrhagic disorders, splenectomy

Reprint requests
Hisayuki Shigematsu Department of Surgery, National Shikoku Cancer Center Hospital 13 Horinouchi, Matsuyama, 790-0007 JAPAN

Accepted
December 9, 1998

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