Stomach Cancer Treatment and Surgery
Mount Sinai has extensive experience treating cancers of the stomach at all stages. Our rigorous multidisciplinary approach ensures that every patient receives a customized treatment plan. Mount Sinai's experts in advanced gastroenterology are able to assess patients with an endoscopic ultrasound and fine needle aspiration, as appropriate, to ensure an accurate staging determination. Once this thorough evaluation is complete, our surgeons collaborate with colleagues in medical oncology to construct a plan that will help ensure the best possible outcome.
- Distal gastrectomy: Depending on the location of the tumor, differing amounts of the stomach need to be removed to ensure the tumor has been completely excised. In patients with tumors located towards the exit of the stomach, a distal gastrectomy is performed. This procedure removes about one-half of the stomach. The downstream intestine is then reattached to the stomach remnant, allowing normal food intake and digestion.
- Subtotal or total gastrectomy: In patients with tumors that are located in a higher position, the majority of the stomach or the entire stomach may need to be resected to ensure that the cancer is completely removed. Each of our patients receives a thorough consultation with a certified nutritionist prior to discharge home to ensure they learn how to maintain a healthy diet following subtotal or total gastrectomy.
- Laparoscopic gastrectomy: In certain cases where the cancer is early stage, or is a less aggressive type of stomach tumor, our surgeons can perform gastrectomy using minimally invasive surgery. Laparoscopic surgery results in smaller scars and generally allows patients a shorter hospital stay with quicker recovery times.
- Regional lymphadenectomy: In a recent study of all patients undergoing gastrectomy in the United States, only 10 percent of patients received the D2 lymph node dissection that is recommended by the National Comprehensive Cancer Network's guidelines for gastric cancer. Our surgeons are specially trained in techniques to remove the lymph nodes surrounding the stomach in order to maximize accurate staging.
Mount Sinai Surgical Associates
Division of Surgical Oncology
1470 Madison Ave, 3rd Fl
New York, NY 10029