Subtotal Gastrectomy
Removal of the distal stomach with D2 lymphadenectomy for distal gastric cancer — preserving the proximal stomach.
What is Subtotal Gastrectomy?
Subtotal (distal) gastrectomy removes the distal two-thirds of the stomach — antrum, body, and pylorus — along with D2 systematic lymph node dissection and the omentum. It is the standard surgical treatment for cancers of the antrum and distal stomach, preserving the proximal gastric remnant for better nutritional outcomes.
Dr. Tagore Mohan Grandhi performs subtotal gastrectomy with D2 lymphadenectomy, the oncological standard providing complete cancer clearance and maximum lymph node harvest. All cases are reviewed at MDT before surgery.
Suitable for patients with resectable gastric adenocarcinoma of the antrum, body, or distal stomach where a proximal margin can be achieved while preserving the upper gastric remnant.
How the Procedure Works
Staging Laparoscopy
Diagnostic laparoscopy performed to exclude peritoneal metastases not visible on CT before proceeding with resection.
D2 Lymphadenectomy
Systematic removal of perigastric lymph nodes along the left gastric artery, coeliac axis, and splenic artery.
Gastric Transection
Stomach transected at the proximal margin with clear oncological margins. Duodenum divided just distal to pylorus.
Reconstruction
Roux-en-Y or Billroth II gastrojejunostomy performed. Roux-en-Y preferred to minimise bile reflux symptoms.
Recovery and Adjuvant
Post-operative diet progressed over 5–7 days. Adjuvant FLOT chemotherapy commenced 4–6 weeks post-operatively.
Outcomes
Who Needs This Treatment?
- →Preserves the proximal stomach — better nutritional outcomes than total gastrectomy
- →D2 lymphadenectomy provides optimal cancer staging and clearance
- →Combined with FLOT chemotherapy significantly improves overall survival
- →Roux-en-Y reconstruction minimises bile reflux symptoms post-operatively
D2 lymphadenectomy is the cornerstone of gastric cancer surgery. Combined with perioperative FLOT chemotherapy, subtotal gastrectomy offers the best available chance of cure for resectable distal gastric cancer.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Subtotal Gastrectomy Cost in Hyderabad
The cost of subtotal gastrectomy in Hyderabad depends on the complexity of the condition, the technology and implants used, and the care needed before and after the procedure. Your treating doctor will share a personalised estimate after your consultation.
| Procedure | Approximate Cost Range |
|---|---|
| Subtotal Gastrectomy | Shared after consultation |
The final cost may vary depending on your individual condition, findings during the procedure, and whether any additional procedures are required.
Factors That Influence Subtotal Gastrectomy Cost
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Complexity and severity of the condition being treated
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Type of anaesthesia and surgical technique used
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Pre-operative investigations and evaluations required
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Duration of hospital stay and post-operative care needed
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Any additional procedures performed during the same surgery
Is Subtotal Gastrectomy Covered by Insurance?
Subtotal Gastrectomy may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and the approval process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Grandhi will evaluate your symptoms, medical history, and investigation reports to determine whether Subtotal Gastrectomy is right for you, and will guide you on the expected outcomes and estimated cost based on your individual condition.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.