This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
The structures removed, while carrying out radial gastrectomy for a 2 x 2 cm antral adenocarcinoma, would include the following Except 
Select and explain. 
A. Distal 2\/3 of stomach with centimeter cuff of duodenum, B. Lesser and greater omentum, C. Lymph nodes along left and right gastric common hepatic and splenic aeries, D. Spleen
C: Lymph nodes along left and right gastric common hepatic and splenic aeries
Answer: C: Lymph nodes along left and right gastric common hepatic and splenic aeries 
Explanation: Surgery is the treatment of choice for carcinoma stomach 1. If it is an early growth, as in case of the pylorus, lower radical gastrectomy with proximal 5 cm clearance is done, along with removal of greater omentum, lesser omentum, all lymph nodes, spleen (to clear splenic lymph nodes), tail of pancreas (when required); and later Billroth II anastomosis. 2. In case of growth in the O-G junction or upper pa of the stomach, upper radical gastrectomy is done along with removal of spleen, both omentum, lymph nodes; and later oesophagogastric anastomosis. 3. In case of growth in the body or linitis plastica, total gastrectomy (radical) with oesophagojejunal anastomosis is done. Ref: SRB&;s manual of surgery,3 rd ed, pg no 787