Gastrectomy for Cancer
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Proximal gastric lesions are treated by total gastrectomy by some surgeons and by resection of the lower esophagus and proximal stomach by others (see Chaps. 6 and 8).
According to Hoerr and to Nyhus, antral malignancy requires only a distal two-thirds gastrectomy, including adjacent lymph nodes, duodenum, and omentectomy. On the other hand, Menguy recommends an 80%–90% gastrectomy, with division of the left gastric artery at its origin, omentectomy, and splenectomy, followed by gastroduodenostomy or gastrojejunostomy.
KeywordsTotal Gastrectomy Gastric Pouch Lymphatic Metastasis Proximal Stomach Left Gastric Artery
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