检索结果-南通市图书馆

Laparoscopic Sleeve Gastrectomy following Pylorus-Preserving Pancreaticoduodenectomy

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2023年第5期14卷 355-359页

作者： Chien-Hua Lin jing-jim ou Yueh-Tsung Lee Hurng-Sheng Wu Department of Surgery Chang Bing Show Chwan Memorial Hospital Taiwan IRCAD Taiwan

Background: A 35-year-old married female (68 kg, 150 cm, BMI: 30.2) with pancreatic divisum complicated chronic pancreatitis and underwent pylorus-preserving pancreaticoduodenectomy in 2010. After that, her condition was well. However, body weight gained progressively to 76 kg (BMI: 33.7) and hypertension developed. During these two years, tried exercise and medication control for hypertension, but in vain. She received a laparoscopic sleeve gastrectomy in October 2013. The post-operative course was uneventful. Methods: We applied three ports for laparoscopic operation, including two 12 mm and one 5 mm trocars. The liver was not needed to be elevated due to adhesion. The operative time was 75 minutes. Results: The patient’s body weight was 10 kg reduced in the first two months and reduced to 59 kg 6 months later. Conclusions: We report a case that received laparoscopic sleeve gastrectomy following pylorus-preserving pancreaticoduodenectomy due to pancreatic divisum. This case encourages us to extend the indication of laparoscopic sleeve gastrectomy.

关键词： Sleeve Gastrectomy Morbid Obesity Obesity Pancreatectomy

An Easy Way to Close the Trocar Hole in Obese Patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2015年第10期6卷 459-463页

作者： Chien-Hua Lin Hurng-Sheng Wu jing-jim ou Yueh-Tsung Lee IRCAD Taiwan Department of Surgery Chang-Bing Show Chwan Memorial Hospital Taiwan Department of Surgery Tri-Service General Hospital Taiwan

Background: Ten-millimeter ports are often used in laparoscopic surgery. It could be difficult to close the ports sites, especially in obese patients. We described a new method to close ten-millimeter port-site wounds, effective and easily to perform. Methods: Forty cases of laparoscopic bariatric surgery were performed from April 2010 to September 2011 at IRCAD Taiwan. Among them, 30 patients received trocar hole closed with SURGICEL® Original Hemostat and the other 10 patients received trocar hole closed with autologous fat. The results were recorded. Results: In group of SURGICEL® Original Hemostat, includes 21 female and 9 male, age range from 18 to 54 with average 39.5 years. Average BMI is 42.4 (range from 32.6 to 55). The operations include 27 cases of laparoscopic sleeve gastrectomy, 2 cases of laparoscopic gastric bypass, and 1 case of laparoscopic mini-bypass. Group of autologous fat includes 3 female and 7 male, age range from 20 to 49 with average 38.6 years. Average BMI is 39 (range from 32.8 to 64.5). The operations include 9 cases of laparoscopic sleeve gastrectomy, and 1 case of laparoscopic mini-bypass. No complications of trocar wound including infection, hematoma, and hernia were found for a mean follow-up of 6 months. Conclusions: For obese patients, closure of port sites can be difficult. We described a method of closing 10-mm port-sites wounds, which are easy, effective, and not required any special instruments.

关键词： Bariatric Surgery Autologous Fat Troca Port Site Hernia

Continuously Injection with Diluted Heparin Solution via Catheter for Implantation of Totally Implantable Access Ports (TIAP)

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2012年第7期3卷 371-372页

作者： Chien-Hua Lin jing-jim ou Yueh-Tsung Lee Hurng-Sheng Wu Department of Surgery Chang-Bing Show Chwan Memorial Hospital Changhua Chinese Taipei

Background: Totally implantable access ports (TIAP) could be done in two methods: puncture of subclavian vein and cephalic vein cutdown. Cephalic vein cutdown method has fewer complications but has higher failure rates. We present a method to decrease the failure rates. Methods: We use the continuously injection with diluted heparin solution via catheter while introducing the TIAP catheter into the cephalic vein. Results: From January 2005 to January 2009, 20 patients were performed. This method was successfully applied in 11 patients with no complications. The other 9 patients was unsuccessfully and further underwent guidewire assisted. Conclusions: Continuously injection with diluted heparin solution via catheter while inserting TIAP catheter into the cephalic vein is safe and simple. It could be used for difficulties of insertion of TIAP and increased the successful rates of cephalic vein cut-down method.

关键词： Totally Implantable Access Ports (TIAP) Arrhythmia Port-A

Endoscopic Management of Leaks Following Laparoscopic Sleeve Gastrectomy: The Experience of IRCAD Taiwan

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2020年第11期11卷 347-353页

作者： Chien-Hua Lin jing-jim ou Yueh-Tsung Lee Hurng-Sheng Wu Sheng-Lei Yan Department of Surgery IRCAD Taiwan Chinese Taipei Department of Surgery Tri-Service General Hospital Chinese Taipei Division of Gastroenterology Department of Internal Medicine Chang-Bing Show Chwan Memorial Hospital Chinese Taipei

Background: To present the experience of management of leaks following laparoscopic sleeve gastrectomy for morbid obesity in Show-Chwan memorial Hospital. Patients and Methods: Laparoscopic sleeve gastrectomy is considered one of the surgical options for morbid obesity. It is effective, with an average loss of 50% of excessive weight after 2 years of follow-up. The first laparoscopic sleeve gastrectomy was performed in January 2010 at Show-Chwan Memorial Hospital. Between January 2010 and October 2016, 300 patients underwent laparoscopic sleeve gastrectomy for morbid obesity. There were 218 women and 82 men with a mean age of 35.4 years. Preoperative mean body weight was 90.7 kg and mean body mass index (BMI) was 37.3 kg/m2. Results: Mean operative time was 85 minutes. Mean hospital stay was 3.5 days. There were no deaths. There were 5 complications (1.67%): leakage of gastroesophageal junction. One patient was conservative treatment. Two patients were successfully treated by self-expandable metallic stents and the other two patients were treated with esophageal stent also, but failed and further treated with fibrin (Histoacryl) injection to the leak site to try to seal the fistula. In six months follow-up, mean BMI decreased from 37.3 to 29.2 kg/m2, and mean excess weight loss reached 42.8%. Conclusions: Laparoscopic sleeve gastrectomy is a beneficial operation in terms of excessive weight loss, with acceptably complications. The leaks were located in gastroesophageal junction mostly, and could be resolved with esophageal stent. For the patients failed in esophageal stents, we try Histoacryl injection to improve it.

关键词： Bariatric Surgery Leaks Stent Histoacryl

A theoretical framework for improved fire suppression by linking management models with smart early fire detection and suppression technologies

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Forestry Research 2024年第5期35卷 1-13页

作者： Li Meng jim O’Hehir jing Gao Stefan Peters Anthony Hay University of South Australia AdelaideSAAustralia Esk Spatial InvermayTASAustralia

Bushfires are devastating to forest managers,owners,residents,and the natural *** tech-nological advances indicate a potential for faster response times in terms of detecting and suppressing ***,to date,all these technologies have been applied in *** paper introduces the latest fire detection and sup-pression technologies from ground to *** operations research method was used to assemble these technologies into a theoretical framework for fire detection and *** framework harnesses the advantages of satellite-based,drone,sensor,and human reporting technologies as well as image processing and artificial intelligence machine *** study concludes that,if a system is designed to maximise the use of available technologies and carefully adopts them through complementary arrangements,a fire detection and resource suppression system can achieve the ultimate aim:to reduce the risk of fire hazards and the dam-age they may cause.

关键词： Forest fire Resource suppression Smart fire detection and suppression system Forest fire management Holistic system

Leukemoid Reaction as a “Tumor Marker” in Breast Cancer

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Surgical Science 2012年第5期3卷 271-273页

作者： Chien-Hua Lin Jyh-Cherng Yu jing-jim ou Yueh-Tsung Lee Hurng-Sheng Wu Department of Surgery Chang-Bing Show Chwan Memorial Hospital Changhua Chinese Taipei Division of General Surgery Department of Surgery Tri-Service General Hospital Taipei Chinese Taipei

Neutrophilic leukocytosis above 50 × 109/l exclude leukemia, defines a leukemoid reaction (LR). It is associated with several diseases. Although it simulates leukemia, most of the causes are benign. Tumor-related LR is more common. It is associated with ranulocyte colony-stimulating factor (G-CSF) secreted by the tumor cells. A 38-year-old woman, presented with advanced breast cancer and leukocytosis (79.9 × 103/uL) was found. After completion of MRM, the condition of leukocytosis subsided. Two months later, tumor local relapse was found and white blood cells (WBC) rose again. After completion of wide excision, the condition of leukocytosis subsided again. We think this case was associated with leukemoid reaction.

关键词： Leukemoid Reaction Leukocytosis Breast Cancer

Chilaiditi Syndrome: The Pitfalls of Diagnosis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2012年第3期3卷 141-144页

作者： Chien-Hua Lin Jyh-Cherng Yu jing-jim ou Yueh-Tsung Lee Mei Huang Hurng-Sheng Wu Department of Medicine Chang-Bing Show Chwan Memorial Hospital Changhua Chinese Taipei Division of General Surgery Department of Surgery Tri-Service General Hospital Taipei Chinese Taipei General Surgery Department Chang-Bing Show Chwan Memorial Hospital Changhua Chinese Taipei IRCAD Taiwan Chang-Bing Show Chwan Memorial Hospital Changhua Chinese Taipei

Purpose: Chilaiditi’s syndrome is the hepatodiaphragmatic interposition of the colon. Its diagnosis poses challenge to clinicians, and misdiagnosis may results in unnecessary exploratory laparotomy being performed. The purpose of this study was to report our experience in diagnosis, management, and clinical outcome of patients with Chilaiditi’s syndrome. Methods: Nine cases of Chilaiditi’s syndrome from April 2005 to January 2007 at one institute. The clinical characteristic, imaging studies, management and results were recorded. Results: Six patients presented with abdominal distension (2 patients with abdominal pain;5 patients with constipation), while Chilaiditi’s syndrome in the other three patients were found incidentally. All patients underwent chest X-ray. The Chilaiditi’s sign could be detected in seven patients;while the other two patients presented with no specific finding. Abdominal plain films (KUB) were all reviewed. Most of the patients (n = 8) showed ileus and one patient showed no specific finding. Impacted stool could be detected in five of nine patients. Abdominal ultrasound was performed in two patients. Gallstones were detected in one of them while the other revealed no specific finding. Six of nine patients underwent CT of abdomen, one of them revealed bowel loops in bilateral subphrenic space. One patient underwent subtotal colectomy because of volvulus of sigmoid colon. Five patients were treated with laxative and enema successfully and had been remained asymptomaticcally for a mean follow-up of 6.6 months. The other three cases were under observation. Conclusions: Presence of haustral folds of bowel loops may help us in diagnosing Chilaiditi’s syndrome. The left lateral decubitus abdominal plain film can also help to differentiate between pneumoperitoneum to Chilaiditi’s sign. Most of the cases with Chilaiditi’s syndrome can be resolved with conservative treatment and surgical intervention was reserved for patients with sign of systemic toxic

关键词： Chilaiditi Syndrome Hepatodiaphragmatic Interposition Chilaiditi

Treg Immunomodulation Contributes to the Anti-atherosclerotic Effects of Huxin Formula in ApoE^(-/-)Mice

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Journal of Integrative Medicine 2024年第10期30卷 896-905页

作者： ou Xiao-min CAI jing HU Xiao-yue ZENG Qiao-huang LAN Tao-hua JIANG Wei The Second Clinical College of Guangzhou University of Chinese Medicine Guangzhou510405China Department of Cardiology Guangdong Provincial Hospital of Chinese Medicinethe Second Affiliated Hospital of Guangzhou University of Chinese MedicineGuangzhou510020China Guangdong Provincial Key Laboratory of Chinese Medicine for Prevention and Treatment of Refractory Chronic Diseases Guangzhou510020China

Objective:To explore the effects of Huxin formula(HXF)in curtailing atherosclerosis and its underlying ***:According to random number table method,24 specific pathogen free male ApoE^(-/-)mice were randomly divided into model group,HXF low-dose(HXF-L)group(8.4 g/kg daily),HXF high-dose(HXF-H)group(16.8 g/kg daily),and pravastatin(8 mg/kg daily)group in ExperimentⅠ(n=6 per group).C57BL/6J mice served as the control group(n=6).ApoE^(-/-)mice in HXF-L,HXF-H,pravastatin groups were fed a Western diet and administered continuously by gavage for 12 weeks,while C57BL/6J mice in the control group were fed conventional lab mouse chow for 12 ***,Tregs were depleted by weekly intraperitoneal injection of purified anti-mouse CD25 antibody(PC61,250μg per mouse)for 4 weeks in ExperimentⅡ(n=6 per group).Oil Red O and Masson staining were used to evaluate the plaque area and aortic root *** CD4^(+)CD25^(+)Foxp3^(+)Treg counts in the lymph nodes and spleen cells were detected using flow cytometric *** transforming growth factor-β1(TGF-β1),interleukin(IL)-10,and IL-6 serum levels were examined by MILLIPLEX?MAP *** real-time reverse transcription PCR(qRT-PCR)and Western blot were utilized to assess the expression of TGF-βmRNA and protein in the *** expression of CD4^(+)T lymphocytes,macrophages and smooth muscle cells in the aortic root were detected by immunofluorescence ***:HXF reduced plaque area in ApoE^(-/-)mice(Pounts in the lymph nodes and spleen cells(P0.05).Also,HXF upregulated the expression of TGF-βmRNA and protein in the aorta(P<0.05).Additionally,HXF attenuated CD4^(+)T lymphocytes,macrophages and smooth muscle cells in aortic root plaque(P<0.01).Furthermore,the depletion of Tregs with CD25

关键词： atherosclerosis Huxin Formula Tregs immune responses inflammation

Characterizing the photodegradation-induced release of volatile organic compounds from bottled water containers

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Eco-Environment & Health 2024年第2期3卷 145-153页

作者： Ruijuan Liu Zhianqi Liao jing Zheng Xinni Wu Zongyi Tan Huase ou Guangdong Key Laboratory of Environmental Pollution and Health School of EnvironmentJinan UniversityGuangzhou 511443China State Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment South China Institute of Environmental SciencesMinistry of Ecology and EnvironmentGuangzhou 510655China Key Laboratory of Philosophy and Social Science in Guangdong Province of Community of Life for Man and Nature Jinan UniversityGuangzhou 511443China

While plastic water bottles are known to potentially release various volatile organic compounds(VOCs)when exposed to light,existing knowledge in this field remains *** this study,we systematically examined the composition,yield,and toxicity of VOCs released from six plastic containers obtained from different continents under UV-A and solar *** light exposure,all containers released VOCs,including alkanes,alkenes,alcohols,aldehydes,carboxylic acids,aromatics,*** 1#,3#,4#,5#,and 6#containers exhibited 35,32,19,24 and 37 species of VOCs,***,the 2#container released 28 and 32 series of VOCs after 1-day(short-term)and 7-day(long-term)UV-A irradiation,respectively,compared to 30 and 32 species under solar *** half of the VOCs identified were oxidized compounds alongside various short-chain *** differences in VOC compositions among the containers were observed,potentially originating from light-induced aging and degradation of the polyethylene terephthalate structure in the *** predictions unveiled distinctive toxic characteristics of VOCs from each *** example,among the various VOCs produced by the 2#container,straight-chain alkanes like n-hexadecane(544-76-3)were identified as the most toxic *** long-term irradiation,the yield of these toxic VOCs from the 2#container ranged from 0.11 ng/g to 0.79 ng/*** the small mass of a single bottle,the volatilization of VOCs from an individual container would be *** after prolonged exposure to light,the potential health risks associated with inhaling VOCs when opening and drinking bottled water appear manageable.

关键词： Plastic contaminants Volatile organic compounds Drinking water safety Sunlight Ultraviolet