Some of the finest operating I have yet seen was in the National Cancer Center Hospital. Peritoneal cytology is performed routinely for all advanced gastric cancers. I saw a number of D2 and D3 gastrectomies. The quality of lymphatic dissection and clearance was beyond compare. Equally important was the ability to be patient.
Lymphatic clearance takes time.
The excised specimen is opened and carefully examined in theatre by the operating consultant. Photographs are taken. The pathologists then take even more photographs for themselves. Postoperative Care Postoperative ward rounds took place every morning and started at 07.45 h exactly in the Hyperdependancy Unit. All the consultant surgeons and junior staff were present.