Treatment of advanced gastric cancer

summary

I have a stomachache for several months. I always thought I had a common stomachache, but now I feel that my condition is more severe. Now it's very painful. After I went to the hospital for gastroscopy, I got gastric cancer. After treatment, obviously a lot of people better, then, the treatment of advanced gastric cancer? You know what? Today, let me share with you the treatment of advanced gastric cancer.

Treatment of advanced gastric cancer

Treatment 1: extensive resection of the stomach, in order to prevent gastric wall residual cancer, should be widely removed around the cancer stomach. In the case of lower gastric cancer, the duodenal transection line should be as far away from the pyloric ring as possible and close to the attachment of the pancreatic head. The small curvature was 2 cm below the right side of the cardia, and the large curvature was at the second and third terminal branches of the left gastroepiploic artery or the inferior pole of the spleen. The extent of gastrectomy should be determined according to the gross type of cancer. The limited type (bonmann L, 2) was at least 3-4cm away from the edge of the cancer, and the invasive type (bonmann 3, 5) was at least 5-10cm away from the edge of the cancer. For Borrmann 4 type gastric cancer, total gastrectomy or combined organ resection is recommended.

Treatment 2: systematic and thorough removal of perigastric lymph nodes. Surgeons must be familiar with the distribution and code of perigastric lymph nodes, the scope of each station of gastric cancer, and master the technology of removing lymph system.

Treatment 3: avoid mechanical stimulation to cancer. Mechanical stimulation to cancer, especially rough extrusion, can promote cancer cells to flow into blood vessels and lymphatic vessels. During the operation, the operation should be gentle. When it is necessary to lift the stomach during the operation, the healthy part of the stomach wall should be lifted and grasped, and the cancer should be avoided as far as possible. In the past, 4-6 layers of gauze were used to cover the serosa, or free greater omentum was used to cover the serosa, so as to prevent the cancer cells from falling off into the abdominal cavity. In recent years, the application of medical f-ht glue to smear the affected area of serosa membrane is simple and effective. At present, the first two methods are rarely used.

matters needing attention

Gastric cancer patients may also have a certain degree of abdominal distension after surgery, so that patients can eat black mullet bone lean meat porridge, which can always supplement nutrition. Secondly, it can improve the abdominal distension of patients. At the same time, family members should also encourage patients to actively fight against the disease, and have good immunity to prevent cancer recurrence.