Stomach Cancer
Radical subtotal and total gastrectomy with standardized D2 lymph node clearance for gastric carcinomas and gastrointestinal stromal tumors (GIST).
Overview & Surgical Philosophy
Effective surgical care for stomach cancer centers on achieving microscopic negative margins (R0 resection) along with standardized D2 lymphadenectomy to accurately stage the disease and decrease recurrence rates.
Common Symptoms & Clinical Signs
Persistent indigestion, burning or epigastric discomfort, early satiety after small meals, nausea or vomiting, iron deficiency anemia or black tarry stools.
Early presentation significantly increases the likelihood of conservative, organ-sparing surgical interventions.
Diagnostic Workup & Staging
Upper Gastrointestinal Endoscopy with multiple biopsies, Contrast CT Thorax-Abdomen-Pelvis for staging, and Endoscopic Ultrasound.
Surgical Approaches & Techniques
Subtotal Gastrectomy with Roux-en-Y gastrojejunostomy, Total Gastrectomy with Roux-en-Y esophagojejunostomy, D2 lymph node dissection.
Post-Operative Care & Follow-Up
Stepwise dietary progression from liquids to small frequent soft meals, vitamin B12 supplementation protocol, and post-gastrectomy dietary counseling.
Lt Col (Dr) Rahul Sandhu
Surgical Oncologist
15+ years experience in clinical cancer surgery & military trauma care.
Discuss Your Case Directly with Dr. Rahul Sandhu
Personalized oncological assessment and second opinions in Mohali & Kharar.