What is subtotal gastrectomy?
What is subtotal gastrectomy?
A subtotal gastrectomy includes removing the part of your stomach with cancer, nearby lymph nodes, and possibly parts of other organs near the tumor (see Figures 2 and 3).
How long does a subtotal gastrectomy take?
The operation can take between 2 – 6 hours. During the operation, the diseased section of your stomach will be removed, along with some of the lymph nodes around it. If all your stomach is removed, the oesophagus (gullet) is joined directly to the small bowel.
Why do a subtotal gastrectomy?
Subtotal gastrectomy is the treatment of choice for middle and distal-third gastric cancer as it provides similar survival rates and better functional outcome compared to total gastrectomy, especially in early-stage disease with favorable prognosis.
What is a Billroth II surgery?
Billroth II, more formally Billroth’s operation II, is an operation in which a partial gastrectomy (removal of the stomach) is performed and the cut end of the stomach is closed.
When is subtotal gastrectomy done?
Although total gastrectomy was recommended in the past as the standard surgery for middle-third gastric cancer, it has been shown that subtotal gastrectomy can be carried out in middle-third gastric cancer patients when a 3-6 cm tumor proximal free margin can be achieved, according to the Lauren histological type[33].
Can you live a long life without a stomach?
It may be surprising to learn a person can live without a stomach. But the body is able to bypass the stomach’s main function of storing and breaking down food to gradually pass to the intestines. Absent a stomach, food consumed in small quantities can move directly from the esophagus to the small intestine.
How painful is a gastrectomy?
After gastrectomy, you will have some belly pain. You may need pain medicine for the first week or so after surgery. The cut that the doctor made (incision) may be tender and sore. Because the surgery makes your stomach smaller, you will get full more quickly when you eat.
How much stomach is removed in a subtotal gastrectomy?
Removing part of the stomach Your surgeon may remove up to two thirds of your stomach if the cancer is at the lower end of your stomach. This is called a subtotal gastrectomy.
Which is better subtotal gastric cancer or total gastrectomy?
Subtotal gastrectomy is the treatment of choice for middle and distal-third gastric cancer as it provides similar survival rates and better functional outcome compared to total gastrectomy, especially in early-stage disease with favorable prognosis.
What are the different types of gastrectomy’s?
TYPES OF GASTRECTOMY • Base on the amount of stomach removed • Total • Near total >90% • Subtotal 80-90 % • Partial 65-75 % • Hemigastrectomy 50 % • Antrectomy (distal gastrectomy ) 35-50% • Base on the method of reconstruction • Billroth I • Billroth II • Roux en Y 16. BILLROTH 1 • Partial gastrectomy with gastro-duodenostomy.
What are the advantages of a Billroth I gastrectomy?
• The advantage of a Billroth I gastrectomy over a Billroth II procedure • maintenance of the physiological and anatomical gastroduodenal pathway. Thus, it offers a lower incidence of post-gastrectomy syndromes. • minimal disturbance of pancreatic function, and a • possible lower incidence of late development of carcinoma in the stomach remnant.
Can a ln dissection be done for gastric cancer?
Gastrectomy with lymph node (LN) dissection for cancer patients remains a challenging procedure which requires skilled, well-trained surgeons who are very familiar with the fast-evolving oncological principles of gastric cancer surgery.
