Dr.Satish c- Surgical Oncologist in bangalore
Radial Partial/ Subtotal/ Total Gastrectomy
Gastrectomy is one of the common treatment options recommended for stomach cancer. If the cancer is localized,
Radial Partial/ Subtotal/ Total Gastrectomy
Overview
then gastrectomy alone may be sufficient for the successful management of the condition. This procedure may or may not be administered along with chemotherapy and radiation therapy to enhance the quality of clinical outcomes in stomach cancer patients.
More aboutRadial Partial/ Subtotal/ Total Gastrectomy
Depending on the stage of cancer, the GI surgeon may recommend one of the following types of gastrectomy:
- Partial Gastrectomy: During a partial gastrectomy, the surgeon will cut out the lower portion of the stomach. If there are cancerous cells in any adjacent lymph nodes, they might be removed too. The remaining part of the stomach is connected to the intestine.
- Subtotal Gastrectomy: A subtotal gastrectomy involves the removal of the cancerous portion of the stomach, any adjacent lymph nodes, and parts of other organs close to the tumor.
- Radical or Total Gastrectomy: The entire stomach, adjacent lymph nodes, and portions of the esophagus and small intestine are removed during a total gastrectomy. The remaining esophagus will be connected to the small intestine so that the patient can eat, swallow, and digest food.
How is Gastrectomy Performed?
The patient will be put on general anesthesia before the procedure. Depending on the type of surgery decided, the surgeon cuts the abdomen and removes all or part of the stomach.
The intestine may need to be reattached to the residual stomach (partial gastrectomy) or to the esophagus depending on how much of the stomach was removed (total gastrectomy).
Today, some surgeons use a camera to do gastrectomies. A few tiny surgical incisions are made to perform the procedure, which is known as laparoscopy. This procedure has the benefits of a quicker recovery, less pain, and only a few minor cuts.
D2 Lymph Node Dissection: In the case of advanced gastric cancer, the doctor may recommend D2 lymph node dissection along with total gastrectomy. This procedure involves the removal of an additional layer of lymph nodes from the extra-perigastric regions, which typically lie along celiac axis branches like the left gastric, splenic, common, and correct hepatic arteries. This procedure helps in reducing the chances of cancer spreading to other body parts.
Frequently Asked Questions
Your stomach won’t be able to contain as much after surgery as it could previously. Instead of 3 large meals a day, you may consider taking 6 or more smaller meals. Even when your stomach is smaller or removed, this will help you eat the proper amount of food.
This depends on the type of gastrectomy you have undergone. Since it is a complex surgery, one can expect the recovery to take a significant amount of time. Hospital stay alone may last up to two weeks. You will need at least 6 weeks’ rest before you return to work. Also, any vigorous exercise must be avoided during this period.
Possible side effects include wound infection, internal bleeding, leakage from where the healthy portions were stitched, small intestinal blockage, hampered bowel habits, weight loss, etc.
Yes, cancer can recur after gastrectomy. However, early detection of recurrences can help in timely treatment and appropriate management of the condition. For recurrences to be detected early, you should not miss your follow-up appointments after your treatment.
Recovery from gastrectomy can take a while. Therefore, you should be careful about your food habits and lifestyle habits. Switching to a healthier lifestyle can be helpful. Also, throughout the day, try eating smaller meals, avoid fiber-rich food for some time, and choose foods that are rich in micronutrients like minerals and vitamins.
Dr. Satish C is the best surgeon for gastrectomy in Bangalore.