Javascript er ikke aktivert i din nettleser. Dette er nødvendig for å bruke Oncolex. Kontakt din systemadministrator for å aktivere JavaScript.

Stomach Resection/Total Gastrectomy

General

A stomach resection/total gastrectomy is mostly performed for cure. There is no agreement on how extensive the lymph node dissection should be. In Japan and some treatment centers in the West, an extensive dissection is performed (D2 resection). This has not been common in Norway. It has been shown that a splenectomy or particulary distal resection of the pancreas should not be routinely performed as either may increase morbidity and mortality. Studies have shown that an extensive lymph node dissection can be performed with low mortality and morbidity when it is centralized to departments with a high volume of treatments and special competence.

Surgery has two phases:

  • Resection of stomach tumor with lymph nodes en bloc
    • Either stomach resection of distal tumor in the stomach
    • Or total gastrectomy for proximal tumor (cardia/body) or diffuse growing tumor
  • Reconstruction of digestive tract

Contraindications

  • Distant metastasis and peritoneal carcinosis
  • Local invasion of pancreas, aorta, transverse colon, and hepatoduodenal ligament 
  • Other complicating illness 

Goal

  • Curative

Oslo University Hospital shall not be liable for any loss whether direct, indirect, incidental or consequential, arising out of access to, use of, or reliance upon any of the content on this website. Oslo University Hospital© 2017