Stomach ( Gastric) Resection surgery as the name suggests involves surgery of the stomach either by conventional open surgery or minimal access surgery also called as laparoscopic surgery . The laparoscopic surgery is performed by placing the specialised instruments in the abdomain and performing surgery on the monitor under complete vision.
The evidence of performing safe stomach surgeries with minimal invasive techniques has tremendously improved with multiple clinical researches and trials.
Stomach surgeries are considered to be major surgeries and involves appropriate team work. With the advancements of techniques and improvisation of surgical skills the surgical results of major liver resections have become excellent with time.
The types of stomach surgery performed either via laparoscopic surgery or conventional surgery are Distal Gastrectomy, Radical Gastrectomy, partial Gastrectomy, Sleeve Gastrectomy, Gastric by pass surgery and Total Gastrectomy.
Indication of Stomach surgery
- Stomach cancers ( Gastric carcinoma)
- Gastric outlet obstructions
- Complications of stomach ulcer like bleeding and perforation
- Obesity ( bariatric surgery )
- Gastrointestinal stromal tumours( GIST) in stomach
- Gastric volvulus
- Carcinoid tumours
- Gastric polyps
- Chronic gastric ulcers
Once you are planned for surgery the surgeon will explain all the details , it’s risk involved , informed consent and recovery protocols after the surgery they are planning to perform. Usually the length of the procedure will depend upon the extent of the surgery.
- Surgery is performed under General anaesthesia
- Particular position of the patients according to the area of the surgery is given to the patient (commonly done in supine position)
- Technically incision is given upon extent of surgery and preference of surgery in conventional open surgery.
- In laparoscopic surgery, Small hole are made to enter the abdomain using video scope to assess the complete abdominal cavity and area of the disease.
- Mobilisation of the stomach and assessment of the extent of the resection is done
- Surgery is performed using specialised instruments, energy sources , clips , staplers to separate the diseased stomach and maintaining the healthy margin . The continuity of alimentary canal is restored.
- The diseased part is removed and the abdominal drainage tube is place in abdominal cavity.
Recovery after surgery
- The patient is kept in surgical intensive care unit for initial observation and management. Bleeding, infection and leak are major risks involve after these surgeries.
- Intensive chest physiotherapy is advised for enhanced recovery of the patients as breathing might be hampered because of long incisions and pain associated with them.
- Diet is usually started once your bowel function starts returning after surgery.
- Early mobilisation of the patient is recommended.
- Routine check up up of your blood will be performed to study your recovery and chances of infection.
- Diet is managed with the help of the dietician to enhance your recovery and protein supplements are added.
Advantages of Laparoscopic stomach surgery
- Big incision is avoided which is used in conventional surgery which causes significant discomfort and pain.
- Early recovery of stomach functions
- Early healing of the wound
- Shorter stay of hospital
- Early mobilisation and early return to work
- Scar is minimal
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