GASTRECTOMY (TOTAL) WITH ROUX-EN-Y OESOPHAGOJEJUNOSTOMY
Indication: Gastric carcinoma involving the proximal stomach, linitis plastica, or large tumours requiring total gastric resection. Also used for Zollinger-Ellison syndrome refractory to medical therapy in selected cases.
Patient Position: Supine.
Anaesthesia: General.
Incision: Midline laparotomy (or laparoscopic approach).
Procedure:
1. Abdomen entered and explored.