Gastric Surgery Protocol

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    Carlo FeoCarlo Feo

    The protocol could be modified by adding:
    – Nutritional supplement, preferably immunonutrition 7 days before and 5 days after the intervention.
    – Consider minimally invasive surgery (MIS) in selected cases for both early and locally advanced gastric cancers (not recommended for T4B or N2 bulky tumors), based on surgeon experience performing laparoscopic/robotic foregut surgery and lymphadenectomy for gastric cancer.
    – Oral administration of 200-400 ml of a drink containing 25-50 g of carbohydrates up to two hours before the intervention, if there is no contraindication (in case of diabetes, administer together with antidiabetic medication).

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