Surgery for Stomach Cancer: Gastrectomy and Laparoscopic Options
When you hear the words “stomach cancer surgery” it’s natural to feel anxious and overwhelmed. You probably have countless questions running through your mind: What does the surgery involve? How long will recovery take? Will I be able to eat normally again?
If your doctor has recommended a gastrectomy, you’re in the right place. This guide will help you understand your surgical options, what to expect during recovery, and how to prepare for life after treatment. Let’s break down everything you need to know about stomach cancer surgery in simple, clear terms.
What Is Gastrectomy?
Gastrectomy is the surgical removal of part or all of your stomach to treat cancer. The type of surgery you need depends on where the cancer is located and how far it has spread.
- Partial Gastrectomy removes only the cancerous section of your stomach, leaving the healthy part to continue functioning. This is possible when cancer is detected early and hasn’t spread throughout the organ.
- Total Gastrectomy means removing your entire stomach. Your surgeon then connects your esophagus directly to your small intestine, allowing food to pass through. While this sounds drastic, many people adapt well and live full lives after this procedure.
During both types of surgery, your surgeon also removes nearby lymph nodes. This is important because cancer cells can hide in these nodes, and removing them helps prevent the disease from coming back.
Laparoscopic vs. Open Surgery: What’s the Difference?
There are two main approaches to performing gastrectomy: laparoscopic and open surgery.
Laparoscopic gastrectomy uses small incisions (usually 5-6 small cuts) in your abdomen. Your surgeon inserts a tiny camera and special instruments through these openings to remove the cancerous tissue. Think of it as keyhole surgery—working through small entry points instead of one large opening.
Benefits of laparoscopic surgery include:
- Less pain after surgery
- Shorter hospital stays (about 5-7 days)
- Smaller scars
- Quicker return to daily activities
- Lower risk of infection
Open surgery requires a larger incision down the middle of your abdomen. This gives your surgeon direct access to your stomach and surrounding organs. Open surgery is often necessary for larger tumors, more advanced cancer, or when complications arise during the procedure.
Both methods are effective at treating stomach cancer. Your surgeon will recommend the best approach based on your tumor size, cancer stage, and overall health.
Preparing for Your Surgery
Before your gastrectomy, you’ll undergo several tests including blood work, CT scans, and heart evaluation. These help your medical team plan the safest surgery for you.
Your doctor may recommend:
- Eating nutritious foods to build strength
- Stopping certain medications that affect bleeding
- Quitting smoking to improve healing
- Meeting with a nutritionist to discuss post-surgery diet
Mental preparation matters too. Talk to your family, ask questions, and consider joining a support group. Knowing what to expect reduces anxiety and helps you feel more in control.
What Happens During Surgery?
Gastrectomy typically takes 3 to 6 hours. You’ll be under general anesthesia, so you won’t feel anything during the procedure.
Your surgeon removes the cancerous portion of your stomach along with a margin of healthy tissue to ensure all cancer cells are gone. Nearby lymph nodes are also taken out for examination. Then, your digestive system is reconstructed so food can pass from your esophagus to your intestines.
After surgery, you’ll spend time in recovery before moving to a hospital room. Most patients stay in the hospital for 5 to 14 days, depending on which type of surgery they had.
Recovery: What to Expect
▸ The First Week: You’ll start with small sips of clear liquids, gradually progressing to soft foods. Pain medication helps manage discomfort, and you’ll be encouraged to take short walks to prevent blood clots and speed healing.
▸ Weeks 2-6: Once home, you’ll continue building strength. Fatigue is common—listen to your body and rest when needed. You’ll eat small, frequent meals as your digestive system adjusts.
▸ Months 2-3: Most people feel significantly better by this point. You can slowly return to work and regular activities, though heavy lifting should wait until your surgeon gives approval.
Life After Gastrectomy
Adjusting to life after stomach cancer surgery takes time, but millions of people successfully navigate this transition.
▸ Eating Changes: You’ll need to eat smaller portions more frequently throughout the day—think 5-6 mini meals instead of 3 large ones. This prevents overwhelming your digestive system. Avoid sugary foods and drinks, which can cause dumping syndrome (when food moves too quickly into your intestines, causing nausea, cramping, and diarrhea).
▸ Nutrition Needs: Your body may struggle to absorb certain vitamins and minerals, especially vitamin B12, iron, and calcium. Your doctor will prescribe supplements to prevent deficiencies. Regular blood tests monitor your levels.
▸ Physical Activity: Gentle exercise like walking helps you regain strength. As you heal, you can gradually increase activity. Most people return to their normal exercise routines within a few months.
▸ Emotional Health: It’s normal to feel sad, frustrated, or anxious after major surgery. Some people struggle with body image changes or worry about cancer returning. Talking with a counselor or joining a support group helps many patients cope with these feelings.
Possible Complications
While gastrectomy is generally safe, all surgeries carry some risk:
- Infection at the incision site
- Bleeding during or after surgery
- Blood clots in your legs or lungs
- Leaking at the surgical connection points
- Difficulty swallowing
Choosing an experienced surgeon significantly reduces these risks. Following your post-surgery instructions carefully also helps prevent complications.
Ready to Fight Stomach Cancer? Schedule Your Surgery Consultation Today
Facing stomach cancer surgery is challenging, but you don’t have to go through it alone. Finding a skilled surgeon who specializes in cancer treatment makes a real difference in your outcome and recovery.
Dr. Sumit Shah at Prolife Cancer Centre in Pune has extensive experience treating stomach cancer. Dr. Shah offers both laparoscopic and open gastrectomy procedures, tailoring each treatment to the patient’s unique needs.
At Prolife Cancer Centre, you’ll receive:
- Thorough evaluation and accurate diagnosis
- Clear explanations of your treatment options
- Support from a caring medical team
- Guidance on nutrition and recovery
- Long-term follow-up care
If you or someone you love has been diagnosed with stomach cancer, don’t delay seeking treatment. Early surgery offers the best chance for successful outcomes.
Contact Prolife Cancer Centre today to schedule a consultation with Dr. Sumit Shah, a stomach cancer surgeon in Pune. The center provides complete cancer care with a focus on your recovery and long-term health.