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3% vs. 62.1%, p=0.300; 52.8% vs. 59.7%, p=0.100, respectively). Furthermore, the 5-year OS and DFS rates in patients with greater curvature involvement (54.4% vs. 61.9%, p=0.500; 50.0% vs. 57.6%, p=0.400, respectively) and Borrmann type IV disease (23.8% vs. 38.6%, p=0.400; 16.7% vs. 33.9%, p=0.200, respectively) after PSM were also not significantly different between the two groups. Prophylactic splenic hilar LND without splenectomy does not improve long-term survival in PAGC. Therefore, this procedure might not be essential for patien