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Surgery
An adult presented with hematemesis and upper abdominal pain. Endoscopy revealed a growth at the pyloric antrum of the stomach. CT scan showed growth involving the pyloric antrum without infiltration or invasion into surrounding structures and no evidence of distant metastasis. At laparotomy neoplastic growth was observed to involve the posterior wall of the stomach and the pancreas extending 6cm up to the tail of the pancreas. What will be the most appropriate surgical management
Closure of the abdomen
Antrectp, u amd vagotomy
Paial gastrectomy + Distal pancreatectomy
Paial gastrectomy + Distal pancreatectomy + splenectomy
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