The structures removed, while carrying out radial gastrectomy for a 2 x 2 cm antral adenocarcinoma, would include the following Except
Correct Answer: Lymph nodes along left and right gastric common hepatic and splenic aeries
Description: Surgery is the treatment of choice for carcinoma stomach 1. If it is an early growth, as in case of the pylorus, lower radical gastrectomy with proximal 5 cm clearance is done, along with removal of greater omentum, lesser omentum, all lymph nodes, spleen (to clear splenic lymph nodes), tail of pancreas (when required); and later Billroth II anastomosis. 2. In case of growth in the O-G junction or upper pa of the stomach, upper radical gastrectomy is done along with removal of spleen, both omentum, lymph nodes; and later oesophagogastric anastomosis. 3. In case of growth in the body or linitis plastica, total gastrectomy (radical) with oesophagojejunal anastomosis is done. Ref: SRB&;s manual of surgery,3 rd ed, pg no 787
Category:
Surgery
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