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Correspondence
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Volume 341:538-539 August 12, 1999 Number 7
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Surgery for Gastric Cancer

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 by Bonenkamp, J.J.
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To the Editor: The results of the randomized trial comparing extended (D2) and limited (D1) lymph-node dissection for gastric cancer, reported by Bonenkamp et al. (March 25 issue),1 should be interpreted with caution. Patients in the D2 group had a higher in-hospital death rate than those in the D1 group. It has already been suggested that the learning curve and protocol design (removal of the pancreatic tail in patients with a proximal tumor who were undergoing a D2 dissection) account for the difference.2 The high percentage of in-hospital deaths in the D2 group might have introduced a bias in the . . . [Full Text of this Article]

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