What is radical gastrectomy

summary

There are a lot of operations, we only know a little about it, and we don't know the specific operation steps and postoperative recovery in detail. Radical gastrectomy is a common treatment for gastric cancer. Let's talk about what radical gastrectomy is.

What is radical gastrectomy

In general, total gastrectomy can be performed through the midline incision of the upper abdomen, that is, from the xiphoid process to the umbilicus to 2cm below the umbilicus. If necessary, the xiphoid process can be fully exposed. If a large tumor is found in the cardia or lower esophagus by laparotomy, a combined thoracoabdominal incision can be used. The left side of the incision should be raised by 45 ° and the chest should be entered through the left 7th intercostal space.

Second: after exploration and laparotomy, the exploration process should adhere to the principle of tumor free operation as the operation. Do not touch the tumor directly. The sequence of exploration was from far to near according to a certain procedure. First, the cystorectal fossa was examined for tumor implantation and ovarian metastasis, and then the diaphragmatic surface, visceral surface, hepatic hilum, splenic hilum and pancreatic body and tail were explored.

Third: focus on the stomach. Lift the stomach with oval forceps to minimize the spread of tumor cells. When the cancer has leached out of the serosa, it should be covered with gauze. The extent of tumor invasion, mobility, adhesion to pancreas and transverse colon mesentery, and lymph node metastasis were examined to determine the extent of resection.

matters needing attention

Because people do not pay attention to their eating habits and body, they will suffer from many diseases, gastric cancer is a particularly common disease. We also have a certain understanding of radical gastrectomy, and hope that patients can rest assured to recover their health through this operation.