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This relationship between surveillance and tumour left in the abdomen was demonstrated in a meta-analysis by Bristow et al. who reported a consistent 5.5% increase in median survival associated with each 10% increase in maximal" cytoreduction among series with various fractions (median, 41.9%; range, 0-100%) undergoing maximal" cytoreduction 8 To establish the optimal threshold of residual disease is mandatory, as the transcendent end point is to get a potential survival benefit with the surgery approach, and do not harm unnecessarily with futility surgeries that will not give any benefit to the patient and potentially, can decrease her quality of life.

After completing their surgical training, residents who wish to make laparoscopic bariatric surgery their specialty often seek additional training by doing a laparoscopic fellowship. Laparoscopic surgery is a single form. This procedure is technically challenging because it requires laparoscopic skills not generally utilized in routine general surgical practices.

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