Subtotal gastrectomy for a carcinoma of stomach without post operative chemotherapy

ABSTRACT

A 47-year old female was complaining of upper abdominal pain. Ultrasound revealed chronic calculus cholecystitis. OGD showed a large tumor in the gastric antrum. Biopsy indicated adenocarcinoma. On exploration it was observed that the tumor in the distal part of the stomach had invaded the serosa with multiple node enlargement. Cholecystectomy with subtotal gastrectomy and roux-en-y gastro jujenostomy and excision of the greater and lesser omentum and supragastric and infragastric lymph node excision were undertaken. The postoperative period was uneventful. No postoperative chemotherapy was given and the patient is free of distant metastasis and local recurrence after six years