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Mostrando las entradas de enero, 2017

Understanding the factors associated with reduction in the number of lymph nodes in rectal cancer patients treated by neoadjuvant treatment

Int J Colorectal Dis.  2017 Jun;32(6):925-927. doi: 10.1007/s00384-016-2747-7. Epub 2016 Dec 29. Understanding the factors associated with reduction in the number of lymph nodes in rectal cancer patients treated by neoadjuvant treatment. Bustamante-Lopez L 1 ,  Nahas CS 2 ,  Nahas SC 2 ,  Ribeiro U Jr 2 ,  Marques CF 2 ,  Cotti G 2 ,  Rocco A 2 ,  Cecconello I 2 . Author information Abstract INTRODUCTION: Rectal cancer patients frequently present with locally advanced disease for which the standard of care includes neoadjuvant chemoradiotherapy followed by total mesorectal excision. Positive lymph nodes are one of the most powerful risk factors for recurrence and survival in colorectal cancer. In the absence of specific rectal guidelines, the literature recommends to the pathologist to optimize the number of rectal lymph nodes (LN) retrieved. We made a literature review in order to identify factors that could potentially affect...

Peritoneal Lavage in Complicated Acute Diverticulitis: Back to the Future

J Clin Gastroenterol.  2016 Oct;50 Suppl 1:S83-5. doi: 10.1097/MCG.0000000000000619. Peritoneal Lavage in Complicated Acute Diverticulitis: Back to the Future . Escalante G R 1 ,  Bustamante-Lopez  L ,  Lizcano A ,  Acosta M B . Author information Abstract PURPOSE: The aim of this study was to assess laparoscopic lavage in patients with acute diverticulitis. BACKGROUND: In recent times, laparoscopic peritoneal lavage has been considered a therapeutic alternative to standard resection procedures. In Hinchey III diverticulitis there is the possibility of avoiding ostomies or resection procedures. STUDY: This retrospective study was conducted in a single-care institution. RESULTS: Patients requiring emergency surgery for perforated diverticulitis and generalized peritonitis between March 2011 and May 2014 were identified from a prospective database. Seventy-two patients underwent surgery for diverticulitis. Forty-three patients presen...