“…They showed that the location of the involved nodes (regional or distant) had no impact on OS, whereas patients with multiple LN metastases in comparison with single LN metastasis had worse OS [risk ratio 1.61 (1.01-2.56)]. In view of this, they recommended that five LNs are a basic minimum for adequate LN assessment [1,35,36]. Interestingly, 29.4% of patients in this study had more than 15 LNs removed, in keeping with the latest guidelines, which in our study was 28% (22/78 patients).…”