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D2 or more extended lymph node dissection was conducted for 96 patients (88.0%).
Each patient underwent gastrectomy, and D2 or more extended lymph node dissection was usually conducted.
Randomized trials investigating the role of a more extended lymph node dissection (D2) in comparison with the standard D1 lymphadenectomy, found no difference in overall survival, while a D2 dissection was associated with increased postoperative mortality and morbidity [ 4- 7].
Some groups conduct intrapelvic lymph node dissection limited to the obturator fossa, others to the obturator and internal iliac or external iliac area, whereas others conduct more extended lymph node dissections, including the common iliac to the aortic bifurcation.
In N-negative patients, DFS was progressively affected by a progressively more extended lymph nodes dissection: at a follow-up of 25 months (range 1 130 months), the DFS of patients with 0 6 and 7 15 resected lymph nodes was, respectively, 23 and 30 months, while it was not reached for patients with 16 22 and with more than 22 resected lymph nodes.
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Randomised studies that compared standard D1 lymph node dissections with more extended D2 resections in the Western world, failed to show a significant survival benefit with more extensive surgery (Cuschieri et al, 1999; Hartgrink et al, 2004).
No more extended adolescence for me.
The other possible outcomes suggested a more extended struggle.
The instrumentalists had more extended opportunities to impress.
"Miguel Batista would be available for more extended use on Saturday.
(Kornhauser [2004] provides a more extended account).
More suggestions(15)
more involved lymph
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