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Total Gastrectomy with D2 Nodal Dissection, Roux-en-Y Reconstruction, Feeding Tube Jejunostomy
Book chapter

Total Gastrectomy with D2 Nodal Dissection, Roux-en-Y Reconstruction, Feeding Tube Jejunostomy

Hisakazu Hoshi
Operative Dictations in General and Vascular Surgery, pp.122-127
Springer New York
08/18/2011
DOI: 10.1007/978-1-4614-0451-4_24

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Abstract

Gastric cancer. ESSENTIAL STEPS 1. Upper midline incision. 2. Explore the abdomen and confirm pathology and stage. 3. Separate greater omentum from the transverse colon. 4. Dissect subpyloric nodes and ligate right gastroepiploic vessels. 5. Dissect suprapyloric nodes and ligate right gastric vessels.
Common Hepatic Artery Duodenal Stump Gastroepiploic Artery Left Gastric Artery Transverse Mesocolon

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