Gastric cancer can often be treated with endoscopic resection when detected early. However, due to COVID-19, the medical examination rate has been low for the past one to two years, and as a result, cases of progressive stomach cancer have increased. The number of surgeries also increased. March gastric cancer part-review
Cancer lesions usually begin to grow in the mucosa layer, and cancer lesions can be removed by endoscopic submucosal resection when detected early through medical examinations. The top is divided into the upper part, the upper bottom part, the body part, the vestibular part, and the school education Along with the upper front and rear walls, the right side wall of the liver is called Lesser Curvature, and the left side wall of the spleen is called Greater Curvature. Surgery method
There are two main types of gastric cancer surgery.The surgical method changes depending on the location of the pre-resecting partial resection cancer lesion. During surgery, the expression “high, low” is used. The high position of cancer means that it is closer to the esophagus. On the contrary, the expression low means that the lesion site is close to the duodenum. When the location of cancer lesions is high, total resection is performed, and when they are low, partial resection is performed.
preremoval
: It is an operation that shows the entire stomach, connecting the remaining small intestine to the esophagus, and connecting the small intestine again.
distal resection
If there is low, you can remove the remaining stomach from 1/3 degrees Celsius.After removing stomach, there are three ways to connect the stomach and small intestine.: Billrother 1 – The volume of the remaining stomach is large, and the stomach, and the stomach will connect to the stomach and 102 fingers immediately.: Billrother 2 – When pulling the remaining stomach, it is not down to the left intestine, and it can’t connect to the X2 finger.I have a small intestine and connect to the upper intestine.: Routerx-Y – Y, the same stomach is smaller, if the same is smaller, the route x-en-Y is high, instead of Billrother 2.After gastric cancer surgery, the buffer can prevent the emergency from being prevented from being prevented from being prevented from being prevented.In case of removal, at least threecm or more than threecm or more than threecm.In fact, the surgery field, the additional removal of cancer cells from the operating area, the cancer cells are also effective when cancer cells remain in the surgery field.
Guidelines for Korean Treatment of Gastric Cancer 2018
Sometimes early gastric cancer prevents endoscopic resection, and if the lesion is high, proximal resection may be performed. However, due to the risk of reflux esophagitis, stenosis, and cancer recurrence after surgery, gastric cancer guidelines are weakly recommended. In the case of gastric cancer in stage 1 B and stage 2 or higher, either presection or distal partial resection is performed. It’s time for surgery
Not only the stomach is removed and connected, but also the surrounding lymph nodes are removed. Surgery takes longer than expected while avoiding large blood vessels and peeling off surrounding organs. The time required may vary depending on the surgeon’s proficiency and propensity, and the time to check the results of in-operative tissue tests by pathology departments.It usually takes about two hours to compare the full operation time, excluding the preparation time for surgery and anesthesia.(Sometimes one hour is enough if it ends early, and sometimes more than five hours if the scope of surgery due to peripheral organ metastasis increases.) There may be a slight time difference depending on laparotomy, laparoscope, and robot
They usually start eating the next day after surgery or the day after. Start with water, then gradually raise the level and try heavy water, porridge, and soft rice.Even if you eat porridge, you can be discharged from the hospital in about six to eight days if the meal is served without any major problems. surgical complication
They usually start eating the next day after surgery or the day after. Start with water, then gradually raise the level and try heavy water, porridge, and soft rice.Even if you eat porridge, you can be discharged from the hospital in about six to eight days if the meal is served without any major problems. surgical complication
Guidelines for Korean Treatment of Gastric Cancer 2018 www.uptodate.com/contents/surgical-management-of-invasive-gastric-cancer
Surgical Management of Invasive Gastric Cancer – Author: Paul F Mansfield, MD, FACS Section Editor: Kenneth K Tanabe, MD David I Soybel, MD Deputy Editor: Wenliang Chen, MD, PhD Sonali Shah, MD INTROUTION Worldwide, gastric cancer incidence and mortality have decreased dramatically since the 1930s (see Gastroepidemiology) … www.uptodate.com
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