Definition

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Laparoscopic gastrectomy removes part or all of the stomach through small incisions. It is mostly done for stomach tumours, and sometimes for complicated ulcers or bleeding when milder treatment is not possible. The aim is to remove the affected part while preserving digestion as far as possible. The team decides the type and extent from test results, and no specific cure can be promised.

Under general anaesthesia, the abdomen is inflated with gas and a camera and fine instruments are passed through the incisions. The surgeon removes the affected part, may remove nearby lymph nodes, then joins the remaining stomach or oesophagus to the intestine so food can pass. Conversion to open surgery may occasionally be needed.

The operation usually takes about 3 to 5 hours, with a hospital stay of often 5 to 10 days. Eating resumes gradually in small, frequent meals. The final result becomes clear after healing and digestive adaptation, over weeks to months, and follow-up depends on the pathology report.

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Laparoscopic gastrectomy

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Frequently Asked Questions

What are the benefits of this operation?

It removes the diseased part of the stomach and may relieve symptoms such as bleeding or blockage. It forms part of tumour treatment according to the medical team's plan. The benefit depends on the diagnosis and the stage of the disease.

Who is a suitable candidate?

People who need part or all of the stomach removed, based on endoscopy, biopsy and imaging results, and who are fit enough for anaesthesia. The surgical and oncology team chooses between keyhole and open surgery.

How do I prepare for the operation?

Blood tests and imaging are done, the heart and nutritional status are assessed, and fasting time and medication instructions are given. Never stop a prescribed drug, especially blood thinners, unless your doctor tells you to.

How is the operation performed?

Under general anaesthesia, the diseased part of the stomach is removed through small incisions. The digestive tract is then reconnected so that food can continue to pass.

What is recovery like?

You start with liquids and move gradually to soft foods, and early walking is encouraged. Many people return to light activities within weeks, and the doctor decides when strenuous activity can resume.

When do results appear, and do they last?

Many symptoms improve once the surgery has healed, but a full assessment needs the pathology results and regular follow-up. The medical team decides whether further treatment is needed.

What are the possible risks and complications?

They include bleeding, infection, leakage or narrowing at the joins, blood clots and anaesthetic problems, and conversion to open surgery may be required. Dumping syndrome and vitamin B12 or iron deficiency may appear later.

Does the operation leave scars?

It leaves small scars on the abdomen that usually fade with time. A slightly larger incision may be needed to remove the specimen.

Does my diet change after the operation?

Yes. Small, frequent meals eaten slowly are usually advised, and supplements such as vitamin B12 may be needed after total gastrectomy. A dietitian can prepare a plan suited to you.

How many days should I stay before travelling?

Usually about two to three weeks after surgery, or until the wound is healing well and food is tolerated. The treating surgeon confirms when travel is safe.

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