Gastrectomy (Laparoscopic)

Laparoscopic Gastrectomy is the surgical procedure of removing a part or the whole of your stomach . This is the leading treatment for Stomach cancer.

 We are among the Pioneers in Laparoscopic Gastrectomy in India



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Stomach cancer

Gastric Cancer develops from the lining of the stomach. It can easily spread from stomach to other organs via lymph nodes and the lymphatic vessels. Lymph nodes are multiple small swellings in various parts of the body that drain any infection from that particular area. The affected parts should be surgically removed.

After the surgery lifestyle changes like having smaller meals, less fiber foods, eating foods rich in calcium, iron and vitamins C and D is advised.

Understanding Laparoscopic Gastrectomy

Laparoscopic gastrectomy is performed to remove a part or whole of the stomach. It is a surgery done most commonly in removal of cancer in the stomach. This procedure permanently reduces the size of the stomach and limits the intake of food. So it can also be done for causing weight reduction.

As showed in the the diagram the major portion of stomach is cut and removed. So the capacity of the stomach to contain food reduces significantly.

Other conditions where it is performed are:

  • Many polyps in the stomach
  • Ulcer recurring again and again
  • Giant mass like Leiomyoma

Here, at LIMA laparoscopic gastrectomy has been done for all the above conditions.

How is Laparoscopic Gastrectomy Performed?

In Laparoscopic Gastrectomy, the surgeon makes 3 to 5 keyhole incisions in the abdomen to reach the stomach.

Then with a complex device called as staplers, the stomach is divided appropriately and the cut end of the stomach is sutured with the free end of the intestine.

The lymph nodes in which the tumour is spread are also removed.

lap gastrectomy

Treatment window

Surgery is the only curative treatment for stomach cancer, if identified early. Once the cancer spreads to other organs, survival rate is low inspite of surgery. So, once identified, treatment should be started immediately.


Medicines (Chemotherapy) and radiation therapy should be continued.

Follow up is advised on a regular basis.

Smaller meals rich in protein at regular intervals is recommended.

High fiber diet should be avoided.

Vitamins, Calcium and Iron need to be taken regularly.

Video: lap gastrectomy


Instead of having a big slash to remove your stomach, you’re probably much better off having your surgery through keyholes. The amount of pain, discomfort and blood loss is much less. Also, your doctors will be able to see your disease spread to the lymph nodes much better.

No, on the contrary they can actually see better because the telescope goes right in to your belly and can show all the corners of your abdomen to the doctors. Also every single lymph gland can be better identified with the laparoscope.

If your doctors are choosing to not operate, that is bad news. Chemotherapy and radiotherapy are nearly accessory help; surgery is the primary treatment form for your condition. Also removal of the lymph glands will enable as to find out how much the cancer has spread and will permit us to remove it. Also, a laparoscopic surgery allows us to pick out any lymph gland and increase the chances of survival.

In the pre laparoscopic days, we used to reserve 4 to 8 bottles of blood for every cancer stomach patient. However with the blood-less feel of keyhole surgery that is been brought down to almost zero. Thus you will proudly not require blood when you have a gastrectomy.

This is because special devices called stapler will be inserted inside your belly to cut and remove parts of your stomach. These staplers being manufactured abroad are pretty expensive and they consequently jack up the prices. Still it is worth it because of the various advantages that you will have in the process.

No, if u had a total gastrectomy you will probably eat much less. You will also require diet and supplements like calcium, iron, B complex and Vitamin D. It is quite possible that you might not gain much weight for the next couple of years. You will have to be prepared for all these, unfortunately because it is a major cancer operation and in this process your life is going to be hopefully saved.

Laparoscopic Gastrectomy specialists

Dr. J. S. Rajkumar


M.S., F.I.C.S., Dip. N.B. (SURG.), F.R.C.S. (ENG.), F.R.C.S. (EDIN.), F.R.C.S. (GLASGOW), F.R.C.S. (IRELAND), F.I.M.S., F.A.I.S., F.R.M.S. (LONDON), F.A.E. (GASTRO), F.A.C.G. (USA), F.I.C.A. (USA), F.I.A.G.E.S., Dip M.I.S. (FR.)

Dr. Prabhakaran Raju

Consultant Surgical Gastroenterolgy