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• MacDonald et al – 2001
Stage IB through IVM0, R0
556 pts
Post-operative
Chemoradiation
D2 Lymphnode dissection was recommended
D0: 54%
Incomplete resection of perigastric nodes
D0 vs D2
No significant difference
in survival by Cox
MacDonald
et al
; NEJM 2001
Minsky B– personal communication – 2005
D1: 36%
Complete resection of perigastric nodes
D2: 10%
Extended resection of vascular nodes
multivariate analysis
RTCHEM
All subgroups had a
survival benefit
(USA)