检索结果-南通市图书馆

Influence of the water jet system vs cavitron ultrasonic surgical aspirator for liver resection on the remnant liver

引用

World Journal of Clinical Cases 2022年第20期10卷 6855-6864页

作者： Takehiko Hanaki Ayumi Tsuda Teppei Sunaguchi Keisuke Goto Masaki Morimoto Yuki Murakami Kyoichi Kihara Tomoyuki Matsunaga Manabu Yamamoto naruo tokuyasu Teruhisa Sakamoto Toshimichi Hasegawa Yoshiyuki Fujiwara Division of Gastrointestinal and Pediatric Surgery Department of SurgeryTottori University Faculty of MedicineYonago 683-8504TottoriJapan

BACKGROUND Several methods,such as finger fracture,Pean crush,cavitron ultrasonic surgical aspirator(CUSA),and water jet(WJ),are used for hepatic parenchymal dissection in liver *** is the conventional method in *** is a relatively novel method for parenchymal *** it has several advantages,such as lower volume of blood loss and shorter operative time,the effect of the WJ system for hepatic dissection on the remnant liver has not yet been *** To investigate and compare the effect of the WJ method vs CUSA on the remnant liver cut *** This observational study compared the two types of parenchymal transection methods(WJ vs CUSA)in liver *** total,24 and 40 patients who underwent hepatectomy using the WJ method and CUSA,respectively,were included in the ***,the clinicopathological characteristics and clinical outcomes of 24 and 40 patients were ***,postoperative contrast-enhanced computed tomography(CT)scan was performed to assess the cut surface length of the remnant liver and the degenerative thickness of the areas with a reduced contrast effect in the dissected ***,the two groups were *** On CT scan,the median areas of denaturation in the liver dissection planes were 522(range:109.5-1242)mm^(2) in the CUSA group and 324(range:93.6-1529)mm^(2) in the WJ *** area did not significantly differ between the two groups;however,the denaturation thickness of the WJ group was significantly lower than that of the CUSA group[5.8(range:0.7-11.1)mm vs 3.3(range:1.7-10.4)mm,P<0.001].CONCLUSION The WJ group had significantly thinner contrast-enhanced areas in the post hepatectomy detached section than the CUSA group.

关键词： Water jet Cavitron ultrasonic surgical aspirator Energy device Hepatic parenchymal dissection Liver resection

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Combined preoperative platelet-to-lymphocyte ratio and serum carbohydrate antigen 19–9 level as a prognostic factor in patients with resected pancreatic cancer

引用

Hepatobiliary & Pancreatic Diseases International 2019年第3期18卷 278-284页

作者： Teruhisa Sakamoto Hiroaki Saito Masataka Amisaki naruo tokuyasu Soichiro Honjo Yoshiyuki Fujiwara Division of Surgical Oncology Department of Surgery School of Medicine Tottori University Faculty of Medicine

Background: Carbohydrate antigen 19–9(CA19-9) is the most frequently used tumor marker and serves as a prognostic indicator in patients with pancreatic cancer(PC). The platelet-to-lymphocyte ratio(PLR) is thought to be an inflammation-related serum marker. An elevated PLR represents increased inflammatory status and is associated with poor prognosis in patients with various cancers including PC. Methods: This study involved 103 patients with a histopathological diagnosis of pancreatic ductal adenocarcinoma who underwent pancreatectomy. The patients were assessed to determine the prognostic significance of the combination of the PLR and CA19-9 level. Results: Based on the receiver operating characteristic analysis results, the patients were divided into PLR H igh(PLR ≥ 129.1) andPLRLow(PLR < 129.1) groups and into CA19-9High(CA19-9 ≥ 74.0 U/mL) and CA19-9Low(CA19-9 < 74.0 U/mL) groups. The cumulative 5-year overall survival(OS) and disease-specific survival(DSS) rates significantly differed by both the PLR(PLR H igh group: 19.5% and 22.9%;PLRLow group: 39.1% and 45.9%) and CA19-9(CA19-9 H igh group: 19.1% and 25.6%;CA19-9Low group: 41.0% and 41.0%). We then divided the patients into Groups A(PLR L ow/CA19-9Low), B(PLR Low/CA19-9High or PLRHigh/CA19-9Low), and C(PLR H igh/CA19-9High). The cumulative 5-year OS rates in Groups A, B, and C were 44.0%, 31.9%, and 11.9%, respectively( P = 0.002). The cumulative 5-year DSS rates in Groups A, B, and C were 47.7%, 36.4%, and 16.8%, respectively( P = 0.002). Multivariate analysis revealed that the combination of the PLR and CA19-9 was an independent prognostic factor in patients with resected PC. Conclusions: The combination of the PLR and CA19-9 is useful for predicting the prognosis of patients with resected PC.

关键词： CA19-9 Pancreatic cancer Platelet-to-lymphocyte ratio Prognosis

来源：

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

Prognostic value of postoperative complication for early recurrence after curative resection of hepatocellular carcinoma

引用

Hepatobiliary & Pancreatic Diseases International 2018年第4期17卷 323-329页

作者： Masataka Amisaki Hiroaki Saito naruo tokuyasu Teruhisa Sakamoto Soichiro Honjo Yoshiyuki Fujiwara Division of Surgical Oncology Department of SurgerySchool of MedicineTottori University Faculty of Medicine

Background: Postoperative complications may adversely affect oncological outcomes. The aim of this study was to evaluate the impact of postoperative complications on early-phase recurrence after curative resection for hepatocellular carcinoma(HCC).Methods: We included 145 HCC patients who underwent initial and curative resection between January2004 and December 2013. Postoperative complications of grade III or higher based on Clavien–Dindo classification were defined as clinically relevant postoperative complications. Recurrence within two years after hepatectomy was defined as early-phase ***: Thirty-eight patients(26%) developed postoperative complications. The only predictive factor for postoperative complication was longer operative duration(P = 0.037). The disease-specific survival rate of patients with complication was lower than that of patients without complications(P = 0.015). Earlyphase recurrence was observed in 20/38(53%) patients who suffered postoperative complications and36/107(34%) patients with no complications, which was statistically significant(P = 0.039). Multivariate analysis identified four factors contributing to early-phase recurrence: high serum AFP level(P = 0.042),multiple tumors(P < 0.001), poor differentiation(P = 0.036) and presence of postoperative complication(P = 0.039).Conclusions: Postoperative complication is an independent prognostic factor for early-phase recurrence after curative resection of HCC. Close observation of patients with postoperative complications may be a necessary treatment strategy for HCC.

关键词： Neoplasm metastasis Complications Risk factors Hepatocellular carcinoma

来源：

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

Post-operative albumin-bilirubin grade predicts long-term outcomes among Child–Pugh grade A patients with hepatocellular carcinoma after curative resection

引用

Hepatobiliary & Pancreatic Diseases International 2018年第6期17卷 502-509页

作者： Masataka Amisaki Ei Uchinaka Masaki Morimoto naruo tokuyasu Teruhisa Sakamoto Soichiro Honjo Hiroaki Saito Yoshiyuki Fujiwara Division of Surgical Oncology Department of Surgery School of Medicine Tottori University Faculty of Medicine

Background: Although Child–Pugh grade A patients with hepatocellular carcinoma(HCC) are candidates for curative resection, some may have a poor prognosis. The albumin-bilirubin(ALBI) grade, a measure of liver function based on albumin and bilirubin, has the potential to detect Child–Pugh grade A HCC patients with poor prognosis. Because components of the ALBI grade can be measured easily even after surgery, we explored the predictive values of ALBI in patient prognosis after HCC resection. Methods: In this retrospective case-control study, we included 136 HCC patients who underwent curative resection between January 2004 and December 2013 at our hospital. ALBI grade was calculated from laboratory data recorded the day before surgery and at post-operative day 5. Results: Pre-and post-operative ALBI grade predicted patients’ long-term outcomes( P = 0.020 and P < 0.001, respectively, for overall survival, and P = 0.012 and P = 0.015, respectively, for recurrence-free survival). Post-operative ALBI grade was associated with patients’ surgical factors of repeated hepatic resection( P = 0.012), intra-operative bleeding( P = 0.006), and surgery duration( P = 0.033). Furthermore, post-operative ALBI grade, rather than pre-operative ALBI grade, was an independent predictive factor of long-term outcome of Child–Pugh grade A patients with HCC. Conclusions: Post-operative ALBI grade is useful to predict the prognosis in patients after HCC resection.

关键词： Prognosis Hepatic resection Albumin Bilirubin

来源：

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

液氧/液氢高压膨胀循环发动机初步试验

引用

上海航天(中英文) 1988年第3期 58-61+15页

作者： N.Tanatsugu ,Y.naruo ,卞为群

膨胀循环具有很好的性能和很高的可靠性,这一点已由普拉特·惠特尼公司的“半人马座”上面级推进系统RL10发动机证实,但是这种循环对燃烧室压力增加和推力增加都有限制作用,因为它仅仅利用了燃料在冷却燃烧室和喷管延伸段时吸收的热能,... 详细信息

膨胀循环具有很好的性能和很高的可靠性,这一点已由普拉特·惠特尼公司的“半人马座”上面级推进系统RL10发动机证实,但是这种循环对燃烧室压力增加和推力增加都有限制作用,因为它仅仅利用了燃料在冷却燃烧室和喷管延伸段时吸收的热能,来推进燃料和氧化剂涡轮泵.建议采用具有内部热交换器的先进方案燃烧室,这种热交换器可以收集许多燃烧热量.叙述使用内部热交换器的高压膨胀循环发动机的主要性能,并给出了这种发动机的初步试验结果.热交换器中的平均热通量是Bartz相关计算值的70%.燃烧性能不会因装了内部热交换器而受到严重影响.

关键词：液体推进剂火箭发动机氢氧发动机发动机试验

来源：

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

金华猪与梅山猪皮的特征研究

引用

皮革科学与工程 1993年第3期3卷 9-15页

作者： Masami Sugita Sumiharu Arima Satiru Matushita naruo Nakagawa 兵库县立皮革技术中心工业研究所*神户大学

本文研究了金华猪皮和梅山猪皮制革的适宜工艺及成革特点

关键词：原料皮制革特征金华猪梅山猪

来源：

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

七氟醚抑制突触后胆碱能突触传递而不影响短时程增强

引用

国外医学（麻醉学与复苏分册） 2005年第3期26卷 189-192,i001页

作者： Hiroaki naruo Shin Onizuka David Prince Mayumi Takasaki Naweed I.Syed 方波王俊科 Research Associate Department of Anesthesiology Miyazali Medical College Research Associate Cellular and Molecular Neurobiology Research Group Faculty of Medicine University of Calgary Graduate Student Cellular and Molecular Neurobiology Research Group Faculty of Medicine University of Calgary Professor Department of Anesthesiology Miyazali Medical College Professor Cellular and Molecular Neurobiology Research GroupFaculty of Medicine University of Calgary 中国医科大学第一临床学院麻醉科

背景:目前人们已了解全身麻醉对兴奋性和抑制性突触的作用.但全身麻醉影响突触可塑性,从而影响学习和记忆的机制在细胞水平上尚不清晰.本研究选取体细胞-体细胞之间一致的突触后神经元,验证临床浓度的七氟醚是否影响胆碱能突触传递的短... 详细信息

背景:目前人们已了解全身麻醉对兴奋性和抑制性突触的作用.但全身麻醉影响突触可塑性,从而影响学习和记忆的机制在细胞水平上尚不清晰.本研究选取体细胞-体细胞之间一致的突触后神经元,验证临床浓度的七氟醚是否影响胆碱能突触传递的短时程增强。

关键词：胆碱能突触传递突触后七氟醚时程全身麻醉突触可塑性学习和记忆细胞水平体细胞抑制性兴奋性神经元

来源：

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

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：