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146216 Medicine

An adult presented with hemetemesis 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 stomach and the pancreas extending 6cm up to tail of pancreas. What will be the most appropriate surgical management:

AClosure of the abdomen
BAntrectomy and vagotomy
CPaial Gastrectomy + Distal pancreatectomy
DPaial Gastrectomy + Distal pancreatectomy + splenectomy
Medicine
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