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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 Philippines 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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The Philippines is an island nation in the heart of Southeast Asia. It extends from the south of China to the northern tip of Borneo. It is also known as the ‘Pearl of the Orient Seas’, the Philippines is an archipelago of 7,107 islands. It comprises three main island groups, Luzon, Visayas, and Mindanao. Manila, the capital city, lies in the southwestern part of Luzon. Quezon City is the largest and most populous city in the country.
It is a prominent English-speaking country and was once a colony of Spain and the United States. It’s the most Westernised country in Asia. However, its culture is a mix of indigenous Malay culture and Spanish and American heritage.
Besides being one of the top tourist destinations, the Philippines is also an emerging medical tourism destination. It ranks in 8th position among popular medical tourism countries and more than 10,000 medical tourists visit the Philippines every year for various treatments. The following factors all contribute to the progress of medical tourism within the Philippines.
The most common and popular procedures and treatments in the Philippines are cosmetic surgery, weight-loss surgery, dermatology, ophthalmology, and dentistry. As of late, people come here even for liver and kidney transplant surgeries, and cardiac surgeries due to the cost advantage it provides.
For example, a Breast Augmentation surgery that costs between $7,500-$8,500 in the US costs only between $3,000-$3,500 in the Philippines which would be a saving of about 58% to 60%. Also, a coronary artery bypass surgery costing $70,000-$133,000 in the US, will only cost between $11,500-$17,500 and would result in a saving of almost 83% to 86%. Even after adding travel and living expenses, it still makes it a, very good value for the patient to get medical care in the Philippines and several of the more popular Hospital and Clinics are located in Manila, and are St. Luke's Medical Center, Makati Medical Center, The Medical City and Asian Hospital and Medical Center
The Philippines has a total land area of 116,000 square miles, with a large population of 107,791,044 million people. It has many pristine beaches, mountains, rainforests, islands, heritage towns, and monuments, With hotels, food, and transportation very affordable, it’s also a good budget tourism destination.
The following are some of the most beautiful places to visit in the Philippines:
Boracay and Siargao are other popular tourist spots with their powdery white sand and water activities.
The Philippines has a tropical maritime climate. The general weather is hot and very humid. It experiences only three seasons:
The average temperature of the Philippines ranges between 25°C and 32°C (78-90°F) with humidity of about 77%. High-altitude areas are much cooler, with night temperatures dropping to 20°C (68°F). The average annual temperature is around 26.6°C (79.9°F)
The Philippines is an island nation, most international travelers reach the country by air. The country has many international airports in various cities including Cebu, Davao, Manila, Kalibo, and Angeles.
Many airlines operate flights in and out of Manila to several destinations. Philippine Airlines, Cebu Pacific, and Air Asia are the national carriers of the Philippines. Singapore Airlines, Cathay Pacific, and many Middle Eastern airlines operate direct flights to Manila. The Southeast Asian cities of Bangkok and Ho Chi Minh City have wide connectivity to Manila and Cebu. You can reach Manila directly from London by flying Philippine Airlines. US travelers can fly via Japan to the Philippines.
Cebu Pacific, Tigerair Philippines, and PAL Express are some low-cost carriers that service domestic destinations in the country.
For transport within the Philippines, you have Jeepneys which are WWII- army jeeps converted into transport jeeps. They are cheap, open, and usually fully loaded with passengers which are normally cramped with 14 to 20 people sitting shoulder to shoulder depending on the length of the vehicle They operate as collective taxis, picking up and dropping passengers within cities.
Travelers from more than 150 countries that have diplomatic relations with the Philippines can enter the country without a tourist visa. EU, Australia, Japan, and the US are a few visa-exempt countries. In general, you can stay for up to 30 days, provided your passport is valid for at least six months after your arrival. Showing proof of onward and return journeys is compulsory.
Citizens of India, China, and Egypt are some of the countries that will need to get a visa in advance to enter the Philippines.