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Gastrectomy

Gastrectomy (gastrectomia; Greek gaster, gastros – a stomach + Greek ektome – excision, cutting; synonym: a stomach extirpation) – surgery on full removal of a stomach with the subsequent imposing of an anastomosis between a jejunum and a gullet.

Types of a gastrectomy:

  • Abdominal (abdominalis) – opening of a peritoneal cavity is made by means of a section of a front abdominal wall;
  • Abdominal and thoracic (abdominothoracalis) – opening of a pleural cavity is carried out through a section on the eighth mezhreberye, and peritoneal cavities open through a section of a front abdominal wall;
  • Expanded – made with a resection of bodies, adjacent to a stomach, for example, of a liver;
  • Across Sapozhkov (synonym: Sapozhkova a gastrectomy) – at which completely leaves a stomach together with a big epiploon, sheaves and regional lymph nodes; it is carried out at a carcinoma of the stomach;
  • Transpleural (transpleuralis; synonym: a gastrectomy transthoracic) – opening of a pleural cavity is carried out by means of a thoracotomy and a further diaphragmotomy that provides more reliable imposing of an anastomosis.
 
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