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Vitamin B12 and iron needs persist lifelong, especially after total gastrectomy.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned early reoperation (leak, bleeding, abscess, obstruction) within about 30 days; late revision, such as for bile reflux, is rarer."},"scars":"Laparoscopic or robotic approach leaves several small scars of about 0.5-1.5 cm plus a slightly longer extraction incision; open surgery leaves a midline upper-abdominal scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under one admission."},"stages":[{"code":"gastric_resection","label":"Gastric resection with lymph node dissection and reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the single operation."}}],"qualifier":"One surgical session; any adjuvant oncologic treatment is separate."},"success":{"metric":"5-year overall survival after curative gastrectomy for gastric cancer","value":60,"unit":"percent","horizon":"5 years","population":"Adults with resectable gastric cancer, all stages, curative-intent gastrectomy","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic or robotic distal (subtotal) gastrectomy","suits_whom":"Tumors or ulcers in the lower stomach, suitable for minimally invasive access.","recovery":"Typically 4-7 nights in hospital; faster return to activity than open surgery."},{"name":"Open distal (partial/subtotal) gastrectomy","suits_whom":"Larger or more complex lesions, prior extensive abdominal surgery, or when minimally invasive approach is unsuitable.","recovery":"Typically 6-8 nights in hospital; longer recovery."},{"name":"Total gastrectomy with Roux-en-Y reconstruction","suits_whom":"Tumors of the upper or middle stomach or diffuse disease requiring removal of the whole stomach.","recovery":"Typically 6-8 nights in hospital; greater nutritional adaptation needed."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":5,"unit":"hours","qualifier":"Operative time for a typical partial/subtotal gastrectomy with lymphadenectomy; total gastrectomy or complex cases may take longer."},"initial_assessment_documents":["Gastroscopy report","Stomach biopsy pathology report","Contrast-enhanced CT scan of chest and abdomen","Endoscopic ultrasound report (if available)","Recent blood tests including hemoglobin and albumin","Previous abdominal surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 4-8 nights in hospital plus about 2-4 weeks nearby before flying home. Later reviews can be local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the specialist team looking after you will discuss the benefits and side effects of surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"The specialist team looking after you will discuss all the benefits and side effects.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have been able to ask the team questions about your 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