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Surgery is a treatment option for numerous different stages of stomach cancer, particularly in its early stages. If a patient has a stage 0, I, II, or III cancer and is generally healthy enough, surgery often offers the only realistic chance for cure.
The aim of surgery is to remove all of cancer in the stomach while keeping as much normal tissue as possible. In some cases, some nearby tissues and lymph nodes may also be removed, depending on the stage and type of stomach cancer. Sometimes the surgeon may need to remove other organs as well.
There are several different types of surgery for stomach cancer. The type of surgery you have will depend on the type and stage of your cancer, as well as its location in your stomach.
Endoscopic resection
Endoscopic resection is used to treat very early-stage tumors that have not spread from the stomach walls. The goal of this procedure is to effectively remove the body of stomach cancer. For some people, this type of procedure is the only treatment needed.
During this procedure, no incision is made in the skin. Instead, your surgeon inserts a flexible tube with a small camera on its end (called an endoscope) through your mouth down into your stomach. Through the endoscope, surgical tools are passed to remove all cancerous tissue and some of the normal stomach wall around it.
Gastrectomy
Gastrectomy is carried out to remove part or all of the stomach while leaving as much healthy tissue as possible. The goal of the surgery is to completely remove cancer from the stomach, as well as the nearby lymph nodes. Gastrectomy is commonly performed on those whose stomach cancer has advanced. There are two types of gastrectomy:
Subtotal (partial) gastrectomy – this type of gastrectomy is usually recommended if the cancer is located only in the lower part of the stomach. Sometimes, it is used for cancers that are located only in the upper portion of the stomach as well. Subtotal gastrectomy involves removing part of the stomach, sometimes along with the first part of the small intestine or part of the esophagus. The surgeon may also remove part of the tissue that holds your stomach in place (the omentum). How much of your stomach and other organs removed depends on the position of cancer. After the surgery, you will have a smaller stomach.
Total gastrectomy – total gastrectomy is done if cancer has spread throughout the stomach. It is also recommended if the cancer is located near the esophagus in the upper part of the stomach or in the middle of the stomach. During the surgery, your surgeon removes the entire stomach, the omentum, nearby lymph nodes, and sometimes, parts of the nearby organs (such as the esophagus, pancreas, and intestines). In order to enable you to continue swallowing and eating normally, your surgeon then attaches the esophagus to part of the small intestine.
A gastrectomy, both subtotal and total, can be performed in three ways:
Laparotomy (open surgery) involves creating a large incision in the abdomen. This procedure may be needed if your abdomen contains scar tissue from previous surgery, making creating a small incision difficult.
Laparoscopy (keyhole surgery) involves making several tiny incisions in the skin above the abdomen. Through one incision, the surgeon inserts a laparoscope (a thin, lighted tube with a small camera on its end). Through the other incisions, the surgeon inserts small surgical tools to perform the surgery.
Robotic-assisted surgery uses a robotic surgical tool. The surgeon operates the robot using a console displaying a magnified 3-D image of the inside of your abdomen, which has been highlighted with a special fluorescent dye.
Placement of a feeding tube
After stomach cancer surgery, some patients experience trouble taking in enough nutrition. Other treatments, such as radiation therapy and chemotherapy can make the problem even worse. To help you take in enough nutrition, your surgeon can place a tube into the intestine during gastrectomy. The end of this tube remains on the outside of the skin. Through the end of the tube, you can put liquid nutrition directly into the intestine, preventing, and treating malnutrition.
Your length of stay depends on the type of surgery you underwent. In general, you need to stay in the hospital for a few days. Plan to stay in Israel for at least 7 days for initial recovery and follow-up checkups.
The recovery time can vary, depending on the type of surgery and the technique your surgeon used. After endoscopic resection, many patients are able to return to work 2-3 days after surgery. For gastrectomy, it generally takes around 4 to 6 weeks until you can resume your normal routine, including work. However, if your doctor uses the laparoscopic technique, the recovery period can be shorter.
Your surgeon will give you a set of post-operative instructions that you need to follow. These include wound care and medications to take. You may need to attend regular follow-up checkups to ensure cancer has not come back.
After stomach cancer surgery, you may need to change your diet and you’re eating patterns. You need to eat smaller, more frequent meals instead of three big meals a day, particularly after total gastrectomy. Your surgeon will advise you to eat a low-carb and high-protein diet to help you feel better after eating.
The success rate for stomach cancer surgery depends on the stage of cancer and the type of stomach cancer you have. In general, surgery is very effective, particularly in the early stages of stomach cancer.
As with any major surgery, stomach cancer surgery has risks and side effects. These include bleeding, infection, and damage to nearby organs.
In many cases, surgery is necessary to treat stomach cancer, so there are no other alternatives. However, your doctor may recommend radiation therapy, chemotherapy, or targeted therapy instead of surgery, but it often depends on the stage of cancer you have. These types of treatments are usually needed along with surgery.
Stomach cancer can be life-threatening and cause uncomfortable symptoms. After surgery, the symptoms you felt before should be gone and the chance of your cancer spreading to other organs is reduced. In some cases, you may also be put in remission, meaning no cancer is found in your body.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Israel celebrated 70 years of independence in 2018 - in what is a truly ancient land. The world’s only Jewish and democratic state is home to sites sacred to Judaism, Christianity, and Islam. While these holy places are truly unique attractions, there is more to Israel than religious heritage and complex politics. Jerusalem is the official capital and holy city to three world religions, previously mentioned, while Tel Aviv brims with beaches and bustles with urban vitality. Then there’s the Dead Sea and Masada, the stark, stunning Negev, and fertile Galilee. The number of museums and cultural institutions per relative area is larger in Israel than anywhere in the world.
Home to more than 30 JCI accredited facilities, medical tourists visit Israel for a variety of procedures, but particularly dental and tertiary care. Stomach Cancer Surgery procedures are also a popular choice.
Israel is an alluring destination for those who want to appreciate its astonishing religious sites, stunning natural beauty, and remarkable historic relics.
Israel is a year-round destination but the temperatures in the city vary widely. The coastal areas such as Tel Aviv and Haifa experiences a typical Mediterranean climate where the winters are rainy and the summers are hot. The area around Northern Negev has a semi-arid climate with hot summers and cool winters. The Southern Negev has a desert climate with extremely hot summers and mild winters. On the other hand, mountainous regions have pleasant summer and cold winters with a little snowfall.
Generally, the winter months from November to March are the coldest months in the country. When mountainous areas such as Jerusalem receives snowfall, the coastal areas experience heavy rainfall. Summer starts in June and ends in August and it is the hottest season in every part of the country, especially in the desert area where the heat can be overbearing. The seasons of spring and autumn have the best weather, with pleasant temperatures and fewer rainy days.
Ben Gurion Airport is the main gateway to Israel and it is the busiest airport in the country located 20 kilometers southeast of Tel Aviv and 45 kilometers northwest of Jerusalem. The airport is ranked among the five best airports in the Middle East. It serves both domestic and international flights to and from numerous major cities around the world. There is two main passenger terminal at this airport. Terminal 1 serves domestic flights and international budget airlines such as EasyJet and Vueling, while Terminal 3 serves international flights.
Since the distance between one city to another is relatively short, getting around Israel is easy. The quickest and most convenient way is by domestic flights. The tickets are not very expensive and deals are often available online. Sometimes a one-way ticket can cost as little as 89 NIS (25 USD). Buses are also convenient but can be slow during traffic jams. Buses connecting Jerusalem, Tel Aviv, and Haifa depart very frequently. A one-way ticket from Tel Aviv to Jerusalem is around 25 NIS (7 USD). Israel’s main bus company is the Egged Bus Company. Trains are also available and very comfortable. They are a lot faster than the bus but the cost can be higher.
Taxis are widely available and can be hailed directly from the streets. Although most taxis are metered, you can agree on a fixed rate and be aware that some drivers are known to overcharge tourists, so you should insist on using the meter and make sure that it is reset to the base fare after you get in. The base fare is normally around 12.30 NIS (3.5 USD). There is also a shared taxi van known as Sherut. It is a good option to travel between Tel Aviv and Jerusalem or Tel Aviv and Haifa.
All visitors must hold a passport valid for at least six months after the date of departure from Israel. Citizens of 99 countries including the European Union, Canada, Singapore, Russia, and the United States do not require a visa to enter the country for up to 3 months. Nationals not listed on the visa exemption agreement need to obtain a visa and should contact their nearest embassy of Israel. Citizens of 25 countries require a confirmation from the Israeli government before a tourist visa is issued.