Abstract
Whether the R2 gastrectomy achieves a higher cure rate for gastric carcinoma than an R1 gastrectomy will be resolved only by controlled trials: In the Cape Town trial, the radical R2 procedure took more time, required more blood, and caused a longer hospital stay without achieving a surgical advantage. Greater numbers and more robust survival data are anticipated from the British and Dutch trials, and until then it is premature to recommend that the practicing surgeon alter his or her gastrectomy technique.
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