Barely Significant
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Long-term Outcomes of Laparoscopic Versus Open Surgery for Clinical Stage I Gastric Cancer: The LOC-1 Study.

Ann Surg · 2016 · PMC4957962 · PMID 27115899

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may be significantno p-value reported
In Western countries, particularly in North America, there, however, may be significant disadvantageous factors in surgical treatment.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.