Open Gastrectomy - Radical
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Open Gastrectomy - Radical

The Open Gastrectomy – Radical course will teach you:

  • Total surgical removal of the stomach, indicated for tumors where a limited resection is not optimal.

Special attention is paid to the following hazards you may encounter during the Open Gastrectomy – Radical:

  • Left hepatic vein injury
  • Presence of metastases
  • Injury to vascular connections between the greater omentum and mesocolon
  • Splenic capsule rupture
  • Tumor location necessitating resection of spleen and pancreatic tail
  • Pancreas injury
  • Esophagus retraction
  • Gastric tube damage
  • High location of the tumor
  • Angulation of jejunal mesentery
  • Nasogastric tube placement

With the following tips you might perform the Open Gastrectomy – Radical even better:

  • Palpation of the tumor
  • Anchoring of the esophagus
  • Less hemorrhage due to electrocautery usage during mesentery transection
  • Identifying blood vessels using transillumination
  • Addition mesentery transection
  • Confirming jejunal blood supply
  • Antecolic and retrocolic positioning of jejunum towards esophagus

After studying the Open Gastrectomy – Radical course you are familiar with the most common complications:

  • Obstructive symptoms
  • Afferent and efferent loop syndrome
  • Gastric dumping syndrome

You might also be interested in:

Open Partial Gastrectomy – BI Reconstruction

Step by step

Abdominal cavity approach

Midline incision

Incision

A midline incision is made from the xiphoid to the umbilicus.

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