Subtotal Gastrectomy – Stomach Cancer

Subtotal, or partial gastrectomy, is selected in patients with a malignancy or, more generally, a resectable tumour in the peripheral area, or body and antrum, of the stomach.

In partial gastrectomy, the relatively small part of the stomach that remains (stump) near the oesophagus is anastomosed with the part of the small intestine called the jejunum, so that food passes from the oesophagus to the small part of the remaining stomach and from there to the small intestine.

There are two ways to restore gastrointestinal continuity:

• Billroth II reconstruction (see image and video).
• Roux-en-Y reconstruction (see image and video).

Συνήθως η επέμβαση συνδυάζεται με προεγχειρητική (neoadjuvant) χημειοθεραπεία, καθώς και με συμπληρωματική (adjuvant) χημειοθεραπεία.