Open Distal Gastrectomy
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Procedure Outline
1. Patient is positioned supine on operating table.
2. Anesthesia and antibiotic administration (usually a cephalosporin).
3. Upper midline incision (xiphoid process to below umbilicus).
4. Division of falciform ligament.
5. Abdominal exploration (for extent of locoregional disease and distant metastases).
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Special attention: peritoneal surfaces and liver.
- Evaluation of remote lymph nodes for metastases.