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CLIENTS AND TECHNIQUES Consecutive patients addressed with neoadjuvant chemotherapy followed closely by gastrectomy with D2 lymphadenectomy were evaluated. Position of LI, VI and PNI had been taped and correlated with clinical outcomes. RESULTS an overall total of 243 patients underwent gastrectomy after neoadjuvant therapy for gastric adenocarcinoma. LI was identified in 129 (53%), VI in 107 (44%) and PNI in 116 (48%) of clients. Position of LI (HR, 2.95, CI 1.91-4.56), VI (HR, 2.66, CI 1.7