Trocar-site incisional hernia after laparoscopic colorectal surgery: a significant problem? Incidence and risk factors from a single-center cohort.

Background: Trocar-site incisional hernia (TSIH) after laparoscopic surgery has been scarcely studied. TSIH incidence and risk factors have never been properly studied for laparoscopic colorectal surgery.

Methods: A retrospective analytic study in a tertiary hospital was performed including patients who underwent elective laparoscopic colorectal surgery between 2014 and 2016.

Approach to the synthesis of antitumor quassinoids from labdane diterpenes: an efficient synthesis of a picrasane-related intermediate.

[structure: see text]. The tetracyclic ketal 24, a suitable intermediate for the synthesis of antitumor pentacyclic quassinoids, has been efficiently prepared from communic acids (5a-c), via methyl ketone 9. The synthetic sequence from 9 to 24 consists of 15 steps in 12% overall yield.

Lignans and polyacetylenes from bupleurum acutifolium.

Two new lignans (R,Z)-3-(3,4-dimethoxybenzyl)-2-(3, 4-dimethoxybenzylidene)-gamma-butyrolactone (1) and (2R, 3S)-2-acetoxy-2,3-bis(3,4-dimethoxybenzyl)-gamma-butyrolactone (2), and four new polyacetylenes, (2Z,8E,10E)-heptadeca-2,8,10-triene-4, 6-diyn-1-ol (3), (2E,9Z)-octadeca-2,9-diene-4,6-diyne-1,18-diol (4), (2E,9Z)-18-hydroxy-octadeca-2,9-diene-4,6-diyn-1-yl acetate (5), and (2E,9Z)-1-hydroxy-octadeca-2,9-diene-4,6-diyn-18-yl acetate (6), were isolated and identified from the hexane extract of aerial parts of Bupleurum acutifolium Boiss. Their structures were elucidated by NMR and MS analyses.