In which case gastrectomy is required?

The article was professionally consulted by MSc Vu Van Quan - Department of General Surgery & Anesthesia - Vinmec Hai Phong International General Hospital.

Gastric bypass surgery is often applied in the treatment of peptic ulcers with perforation, stenosis, bleeding or gastric cancer that systemic conditions allow. Laparoscopic gastrectomy has many advantages over traditional open surgery.

The stomach is an organ of the upper digestive system connected to the esophagus, below to the duodenum (the first part of the small intestine). Food enters the mouth through the esophagus to the stomach, is mixed with gastric juice, and then is ejected into the duodenum and small intestine for further digestion and absorption.
Gastrectomy is surgery to remove part (partial gastrectomy) or all of the stomach. This surgery is effective in treating serious diseases related to the stomach. If the entire stomach is removed, the doctor will proceed to connect the esophagus to the small intestine so that the digestive system continues to work normally.
Gastrectomy techniques are performed by open surgery or laparoscopically when the patient is under general anesthesia:
Open gastrectomy: This is a classic surgical method using a long incision in the middle of the abdomen above the navel. may also extend past - below the navel. Laparoscopic gastrectomy: This advanced procedure uses many small cuts, a special scope, and other small instruments. Patients usually recover faster and with less pain than with open surgery. Depending on the location and extent of damage in the stomach, partial or total gastrectomy can be performed:
Partial gastrectomy: The lower part of the stomach is cut away to remove the lesion, possibly accompanied by removal. adjacent lymph nodes in gastric cancer. Total gastrectomy: The surgeon removes the entire stomach, and then connects the esophagus directly to the small intestine.

2.1. Stomach cancer In gastric cancer, gastrectomy with lymphadenectomy is the only curative treatment. Methods such as chemotherapy or radiation are often applied only after surgery to reinforce the effectiveness of surgery.
Partial gastrectomy: When the patient has a tumor in the lower part of the stomach. Total gastrectomy: If the mass is in the middle or upper part of the stomach or there is a total infiltrate. 2.2. In the past, gastrectomy was the main method used to treat peptic ulcer disease. However, with the advancement of medicine, ulcer drugs, such as proton pump inhibitors, were born and developed, gradually becoming effective, less invasive medical treatments.
Today, gastrectomy is only indicated in rare cases where the patient does not respond to drugs, or gastric ulcer - duodenal complications: perforation, pyloric stenosis, bleeding, ...
2.3. Obesity A small number of cases choose gastric bypass to lose weight.

Since July 2019, Vinmec Hai Phong International General Hospital has applied the technique of laparoscopic gastrectomy combined with lymph node dissection. This surgery is applied to patients with symptoms such as:
Stomach cancer. Gastric - duodenal ulcer complications: pyloric stenosis, bleeding, perforation,.... Gastric - duodenal ulcer does not help with medical treatment. Laparoscopic gastric bypass surgery will be risky if the doctor's skill level as well as supporting equipment are not of high quality. Vinmec Hai Phong has met strict criteria to apply laparoscopic gastrectomy combined with lymph node dissection in the treatment of gastroduodenal diseases, including a full range of laparoscopic surgical facilities. Karl Storz GmbH full HD, Ligasure REFVLF 10GEN scalpel, ....
Besides, the team of doctors who are well-trained in laparoscopic surgery and proficiently perform surgical techniques are always the highlights of the surgery. personnel at Vinmec. Master, Doctor Vu Van Quan - who performs laparoscopic gastrectomy at Vinmec Hai Phong - has more than 10 years of experience in digestive surgery, having successfully performed many difficult surgeries for patients. patient.
Patients who have surgery at the Department of Surgery, Vinmec Hai Phong Hospital enjoy outstanding benefits including:
Short hospital stay, minimizing the cost of stay, reducing the risk of hospital infections. With cases of lithotripsy, inguinal hernia, customers can always go to work after 1 day of discharge from the hospital. Limit the use of antibiotics, reduce the risk of side effects, save costs, patients do not have to worry, fear when administering antibiotics and follow up after taking the drug. Recovery rate reached 90%, re-hospitalization 0%, postoperative infection 0%. The Early Post-Surgery Care Program provides comprehensive care to patients before, during and after surgery, helping to reduce hospital stay, improve treatment quality and reduce costs; reduce the rate of complications. ERAS has been shown to shorten the average length of stay from 8-10 days to 3-4 days. Insurance: Vinmec signed with many large private insurance partners. When customers are hospitalized, they are guaranteed and compensated at the hospital. Save a lot of customer's time and effort. Other advantages : Modern equipment; Service quality according to international standards; Highly qualified doctor; Patients do not need relatives to take care of them because they are cared for by a dedicated and thoughtful nursing doctor...