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What is The structures removed, while carrying out radial gastrectomy for a 2 x 2 cm antral adenocarcinoma, would include the following Except and explain in detail?
Surgery is the treatment of choice for carcinoma stomach 1. If it is an early growth, as in case of the pylorus, lower radical gastrectomy with proximal 5 cm clearance is done, along with removal of greater omentum, lesser omentum, all lymph nodes, spleen (to clear splenic lymph nodes), tail of pancreas (when required); and later Billroth II anastomosis. 2. In case of growth in the O-G junction or upper pa of the stomach, upper radical gastrectomy is done along with removal of spleen, both omentum, lymph nodes; and later oesophagogastric anastomosis. 3. In case of growth in the body or linitis plastica, total gastrectomy (radical) with oesophagojejunal anastomosis is done. Ref: SRB&;s manual of surgery,3 rd ed, pg no 787