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1文献来源Dikken JL,Jansen E,Cats A,et al.Impact of the extent of surgery and postoperative chemoradiotherapy on recurrence patterns in gastriccancer[J].J Clin Oncol,2010,28(30):615-616.2证据水平3b。3背景INT0116研究结果显示可切除的胃癌术后同期放化疗(chemoradiotherapy,CRT)较单纯手术能提高5年总生存率和局部复发率。但由于研究中D2手术仅占10%,大部分为D0或D1手术。2004年对不同手术范围进行分层分析的更新报道显示,放化疗联合治疗对D0和D1术后患者
1 Literature source Dikken JL, Jansen E, Cats A, et al. Impact of the extent of surgery and postoperative campotherapy chemoradiotherapy on recurrence patterns in gastriccancer [J]. J Clin Oncol, 2010, 28 (30): 615-616.2 Level of Evidence 3b . 3 Background INT0116 results show resectable gastric cancer after chemotherapy (chemoradiotherapy, CRT) compared with simple surgery can improve the 5-year overall survival and local recurrence rate. However, due to the study of D2 surgery accounted for only 10%, most of the D0 or D1 surgery. Updated reports of stratified analysis of different surgical ranges in 2004 showed that combination chemotherapy and radiotherapy for patients with postoperative D0 and D1