Editing Gastrectomy (section)

== '''Common Initial approach for total/subtotal:''' ==

* Long midline incision to     umbilicus (can excise xiphoid, or mobilise left lobe of liver if needed)
* Laparoscopic entry would be     3x 10mm ports across upper abdomen, 5mm LUQ, Nathanson
* '''Examine for     metastatic disease'''
** Start with pelvis to avoid      dispersing malignant cells
** Peritoneum
** Greater omentum
** Para-aortic nodes, root of      mesentery
** Run bowel
** Upper abdominal organs