Total Gastrectomy
Complete stomach removal with D2 lymphadenectomy — for proximal, multifocal, or diffuse gastric cancer.
What is Total Gastrectomy?
Total gastrectomy removes the entire stomach, omentum, and D2 regional lymph nodes, with Roux-en-Y oesophagojejunal reconstruction. It is required for proximal gastric cancers, gastro-oesophageal junction cancers (Siewert II–III), diffuse (signet ring cell) cancers, and multifocal gastric disease.
Dr. Tagore Mohan Grandhi performs total gastrectomy with D2 lymphadenectomy. Perioperative FLOT chemotherapy (4 cycles before and 4 cycles after surgery) is the current standard for resectable gastric cancer.
Suitable for patients with resectable gastric adenocarcinoma of the proximal stomach, gastro-oesophageal junction (Siewert II–III), diffuse-type cancer, or multifocal disease requiring complete stomach resection.
How the Procedure Works
Staging and MDT Planning
CT, EUS, PET-CT, and staging laparoscopy. MDT conference determines perioperative FLOT sequencing before surgery.
Complete Gastric Mobilisation
Entire stomach mobilised with D2 lymphadenectomy at all nodal stations. Spleen preserved unless directly involved.
Gastric Resection
Oesophagus divided above tumour with clear margin. Duodenum divided just distal to pylorus. Stomach removed en-bloc.
Roux-en-Y Reconstruction
Oesophagojejunostomy created with circular stapler. Jejunojejunostomy completes Y-configuration.
Adjuvant Chemotherapy
Four post-operative FLOT cycles commenced at 4–6 weeks. Lifelong B12, calcium, vitamin D, and iron supplementation started.
Outcomes
Who Needs This Treatment?
- →Curative resection for proximal, GEJ, and diffuse-type gastric cancers
- →D2 lymphadenectomy provides optimal oncological staging and disease control
- →Perioperative FLOT chemotherapy significantly improves overall survival
- →Roux-en-Y reconstruction minimises bile reflux after complete stomach removal
Total gastrectomy with D2 lymphadenectomy and perioperative FLOT is the most complete treatment we can offer for proximal gastric cancer. Every surgical and oncological decision is made together at MDT for each individual patient.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Total Gastrectomy Cost in Hyderabad
The cost of total 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 |
|---|---|
| Total 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 Total 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 Total Gastrectomy Covered by Insurance?
Total 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 Total 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.