Abstract:Gastric cancer is common throughout Europa. In 2000 there were 192.000 diagnoses with 158.000 deaths.Despite advances in surgical therapy, and in neo or adjuvant chemo-radiotherapy the overall 5-year surgical rate remains poor about 20 per-cent compares with that of 70 per-cent achieved in Japan. Duch an UK [1,2] trials have examined whether extended lymphadenectomy might prove as affective in westem patients. The Dutch trial suggests a survival advantage in the D2 group,
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