Monday 30 April 2012

Total Gastrectomy with D 2 Lymphadenectomy for Adeno carcinoma Stomach


Total Gastrectomy showing Ulcerated Growth

Ulcerated Growth in the Posterior wall of Stomach
Resected Specimen of Stomach

Hand Sewn Esophago Jejunal Anastomosis 


2 comments:

  1. Good one..as it caries d good long term survival advantage...

    But ut looks like early gastric tumor..wasn't there enough margin for subtotal and jejunal anastomosis to cardia/ fundus..?

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  2. - Synchronous gastric lesions and I believe in radical surgery for malignancy when ever it is possible.
    - No consensus till date on total or subtotal gastrectomy for single lesion.

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