GI & HPB Silo

Gastrectomy & D2 Lymphadenectomy

Total and subtotal gastrectomy combined with systematic lymph node dissection for gastric adenocarcinoma.

CLINICAL ONCOLOGY PORTAL

Surgical Clearance Protocol

This protocol details the clinical parameters, resection boundaries, and anatomical checkpoints managed during the procedure. The priority is achieving R0 (microscopically negative) margins while preserving surrounding neural and vascular structures.

Procedural Stages

Assessment of gastric wall invasion borders.
Removal of greater and lesser omenta.
D2 Lymphadenectomy clearing stations 1-12 tracking hepatoduodenal vessels.
Roux-en-Y reconstruction to restore digestive continuity.

Clinical Citations & E-E-A-T Reference

ACADEMIC LOG

This procedure complies with international oncology benchmarks (NCCN/ESMO) and is informed by peer-reviewed studies published by Dr. Gurupreet Singh Gill:

European Journal of Surgical Oncology (EJSO) - Liquid Biopsy in Rectal Cancer (DOI: 10.1016/j.ejso.2024.107966 →)

Surgical Benchmarks

Clearance Goal: R0 Resection
Frozen Section: Intraoperative Verification
Systemic Care: Adjuvant Multidisciplinary Review