Arab Board Surgery Final Written Practice Questions - Arab Board General Surgery Final Written Examination Exam

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A 58-year-old woman is diagnosed with a resectable adenocarcinoma of the gastric antrum (cT2N1M0). Which surgical resection and lymphadenectomy strategy is recommended to achieve optimal oncologic clearance according to international guidelines?

Subtotal (distal) gastrectomy with D2 lymphadenectomy achieving at least 4 cm proximal gross margins Total gastrectomy with D1 lymphadenectomy and routine splenectomy Wedge resection of the antrum with sentinel lymph node biopsy Gastrojejunostomy bypass alone without tumor resection

Correct Answer:

Subtotal (distal) gastrectomy with D2 lymphadenectomy achieving at least 4 cm proximal gross margins

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