Extended lymph-node dissection for gastric cancer.

  title={Extended lymph-node dissection for gastric cancer.},
  author={Johannes J. Bonenkamp and J E Hermans and Mitsuru Sasako and C. J. H. van de Velde and K. Welvaart and Ilfet Songun and Sylvain Meyer and J. Th. M. Plukker and P J van Elk and Huug Obertop and Dirk. J. Gouma and Jan J. B. van Lanschot and Carlo W. Taat and Peter W de Graaf and Maarten F. von Meyenfeldt and Hugo W G Tilanus},
  journal={The New England journal of medicine},
  volume={340 12},
BACKGROUND Curative resection is the treatment of choice for gastric cancer, but it is unclear whether this operation should include an extended (D2) lymph-node dissection, as recommended by the Japanese medical community, or a limited (D1) dissection. We conducted a randomized trial in 80 Dutch hospitals in which we compared D1 with D2 lymph-node dissection for gastric cancer in terms of morbidity, postoperative mortality, long-term survival, and cumulative risk of relapse after surgery… CONTINUE READING
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