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1. Most Advanced Keyhole surgery for Stomach Cancer
at World-class Hospitals in India
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2. Stomach Cancer Treatment in India
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Stomach cancer is cancer that occurs in the stomach —
the muscular sac located in the upper middle of your
abdomen, just below your ribs. Your stomach receives
and holds the food you eat and then helps to break
down and digest it.
Another term for stomach cancer is gastric cancer.
These two terms most often refer to stomach cancer
that begins in the mucus-producing cells on the inside
lining of the stomach (adenocarcinoma).
The Symptoms of Stomach Cancer are:
Discomfort in the upper or middle part of the abdomen.
Blood in the stool (which appears as black, tarry stools)
Vomiting which may have blood in it.
Weight loss.
Pain or bloating in the stomach after eating.

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Types of Stomach Cancer
Adenocarcinoma of the Stomach:
Adenocarcinoma is the most common type of stomach cancer.
More than 95 out of every 100 stomach cancers (95%) diagnosed
are adenocarcinomas. The cancer starts in the gland cells in the
stomach lining.
Squamous Cell Cancers:
Squamous cells are the skin like cells that lie between gland cells
to make the stomach lining. These cancers are treated in the same
way as adenocarcinomas.
Gastrointestinal Stromal Tumour (GIST):
GISTs can be cancerous or non cancerous (benign). Most are
found in the stomach.
Neuroendocrine Tumours:
Neuroendocrine tumours (NETs) can be cancerous or non cancerous. They grow in
hormone producing tissues, usually in the digestive system.

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Blood Chemistry Studies :A procedure in which a blood sample is checked to measure
the amounts of certain substances released into the blood by organs and tissues in the body.
Upper Endoscopy :A procedure to look inside the esophagus, stomach, and duodenum
(first part of the small intestine) to check for abnormal areas.
Barium Swallow :A series of x-rays of the esophagus and stomach. The patient drinks a
liquid that contains barium (a silver-white metallic compound). The liquid coats the
esophagus and stomach and x-rays are taken. This procedure is also called an upper GI series.
Biopsy :The removal of cells or tissues so they can be viewed under a microscope to check
for signs of cancer. A biopsy of the stomach is usually done during the endoscopy.
CT Scan (CAT Scan) :A procedure that makes a series of detailed pictures of areas inside
the body, taken from different angles. The pictures are made by a computer linked to an x-ray
machine.
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How are Stomach Cancer Diagnosed?

5. Treatment of Stomach Cancer at World Class
Hospitals in India
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Surgery : The goal of surgery is to remove all of the stomach cancer and a margin of healthy
tissue, when possible. Options include:
Removing a Portion of the Stomach (Subtotal Gastrectomy). During subtotal
Gastrectomy, the surgeon removes only the portion of the stomach affected by cancer. Subtotal
gastrectomy can be of two types. Distal subtotal gastrectomy is performed if the tumor
cells are present in the lower part of the stomach near to the stomach duodenum junction.
Proximal subtotal gastrectomy is done when the tumor is situated in the upper part of the
stomach and also involves the esophagus.
Removing the Entire Stomach (Total Gastrectomy). Total Gastrectomy involves
removing the entire stomach and some surrounding tissue. The esophagus is then connected
directly to the small intestine to allow food to move through your digestive system.
Removing Lymph nodes to look for Cancer. The surgeon examines and removes lymph
nodes in your abdomen to look for cancer cells.

6. Highly Advanced Laparoscopic Gastrectomy for
Stomach Cancer at World Class Hospitals in India
Keyhole surgery is also called minimal access surgery or
laparoscopic surgery.It means having an operation without
needing a major incision (wound site). The surgeon uses an
instrument that is a bit like a bendy telescope (laparoscope).
The laparoscope is connected to a fibre optic camera that
shows pictures of the inside of the body on a video screen.
The laparoscope also has small instruments that fit down the
tube. The surgeon can manipulate these and watch what they
are doing on the screen.
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Normally, the surgeon has to use more than one entry site and you have a few small wounds,
each an inch or so long. It is possible for an experienced surgeon to remove the whole of your
stomach, or part of it, using laparoscopic surgery. Some trials have shown that laparoscopic
surgery is less traumatic than a single large wound and recovery time may be quicker.
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