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Spleen-preserving distal pancreatectomy from multi-port to reducedport surgery approach

World Journal of Gastrointestinal Surgery 2023年第7期15卷 1501-1511页

作者： Ching-Lung hsieh Tung-Sheng Tsai Cheng-Ming Peng Teng-Chieh Cheng Yi-Jui Liu Department of Computer Science and Information Engineering Feng Chia UniversityTaichung 40724TaiwanChina Department of Surgery Chung Shan Medical University HospitalTaichung 40201TaiwanChina PhD Program of Electrical and Communications Engineering Feng Chia UniversityTaichung 40724Taiwan School of Medicine Chung Shan Medical UniversityTaichung 40201Taiwan Da Vinci Minimally Invasive Surgery Center Chung Shan Medical University HospitalTaichung 40201Taiwan Department of Automatic Control Engineering Feng Chia UniversityTaichung 407Taiwan

BACKGROUND Minimally invasive pancreatic surgery via the multi-port approach has become a primary surgical method for distal pancreatectomy(DP)due to its advantages of lower wound pain and superior cosmetic *** studies have applied reduced-port techniques for DP in an attempt to enhance cosmetic outcomes due to the minimally invasive *** recent review studies have compared multi-port laparoscopic DP(LDP)and multi-port robotic DP(RDP);most of these studies concluded multi-port RDP is more beneficial than multi-port LDP for spleen ***,there have been no comprehensive reviews of the value of reduced-port LDP and reduced-port *** To search for and review the studies on spleen preservation and the clinical outcomes of minimally invasive DP that compared reduced-port DP surgery with multi-port DP *** The PubMed medical database was searched for articles published between 2013 and *** search terms were implemented using the following Boolean search algorithm:(“distal pancreatectomy”OR“left pancreatectomy”OR“peripheral pancreatic resection”)AND(“reduced-port”OR“single-site”OR“single-port”OR“dual-incision”OR“single-incision”)AND(“spleen-preserving”OR“spleen preservation”OR“splenic preservation”).A literature review was conducted to identify studies that compared the perioperative outcomes of reduced-port LDP and reduced-port *** Fifteen articles published in the period from 2013 to 2022 were retrieved using three groups of search *** studies were added after manually searching the related ***,10 papers were selected after removing case reports(n=3),non-English language papers(n=1),technique papers(n=1),reviews(n=1),and animal studies(n=1).The common items were defined as items reported in more than five papers,and data on these common items were extracted from all *** ten studies included a total of 337 patients(females/males:231/106)who underwent *** total,166 patients(females/male

关键词： Minimally invasive surgery Robotic distal pancreatectomy Laparoscopic distal pancreatectomy Spleen preservation Reduced-port Multi-port

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Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor:A case report and review of the literature

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World Journal of Clinical Cases 2021年第4期9卷 838-846页

作者： Yi-Lun hsieh Wen-Hung Hsu Ching-Chun Lee Chun-Chieh Wu Deng-Chyang Wu Jeng-Yih Wu Division of Gastroenterology Department of Internal MedicineKaohsiung Medical University HospitalKaohsiung 807Taiwan Division of Colorectal Surgery Department of SurgeryKaohsiung Medical University HospitalKaohsiung 807Taiwan Department of Pathology Kaohsiung Medical University HospitalKaohsiung 807Taiwan

BACKGROUND Gastric gastrointestinal stromal tumor(GIST)is the most common etiology of gastroduodenal *** gastroduodenal intussusception caused by gastric GIST is mostly treated by surgical resection,the first case of gastroduodenal intussusception caused by gastric GIST was treated by endoscopic submucosal dissection(ESD)in Japan in *** SUMMARY An 84-year-old woman presented with symptoms of postprandial fullness with nausea and occasional vomiting for a ***,she visited a local clinic for help,where abdominal sonography revealed a space-occupying lesion around the liver,so she was referred to our hospital for further *** sonography was repeated,which revealed a mass with an alternating concentric echogenic ***(EGD)was performed under the initial impression of gastric cancer with central necrosis and showed a tortuous distortion of gastric folds down from the lesser curvature side to the duodenal bulb with stenosis of the gastric *** was barely passed through to the 2nd portion of the duodenum and a friable ulcerated mass was *** differential diagnoses were suspected,including gastroduodenal intussusception,gastric cancer invasion to the duodenum,or pancreatic cancer with adherence to the gastric antrum and *** computed tomography for further evaluation was arranged and showed gastroduodenal intussusception with a long stalk polypoid mass 5.9 cm in the duodenal *** the impression of gastroduodenal intussusception,ESD was performed at the base of the gastroduodenal intussusception;unfortunately,a gastric perforation was found after complete resection was accomplished,so gastrorrhaphy was performed for the perforation and retrieval of the huge polypoid *** gastric tumor was pathologically proved to be a *** the operation,there was no digestive disturbance and the patient was discharged uneventfully on the 10th day following the op

关键词： Gastric gastrointestinal stromal tumor Endoscopic submucosal dissection Gastro-duodenal intussusception Elderly Esophagogastroduodenoscopy Gastrointestinal obstruction Case report

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THE ROLE OF VOLCANIC AND VOLCANO-SEDIMENTARY PROCESSES IN THE FORMATION OF CERTAIN MINERAL DEPOSITS OF CHINA

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地质学报 1956年第4期 393-403页

作者： C.Y.hsieh Ministry of Geology People’s Republic of China

The significance of the volcanic and the volcano-sedimentary processes inthe formation of mineral deposits has, as a rule, not yet been sufficiently recog-nized by geologists. Intensive studies carried out recently by... 详细信息

关键词： THE ROLE OF VOLCANIC AND VOLCANO-SEDIMENTARY PROCESSES IN THE FORMATION OF CERTAIN MINERAL DEPOSITS OF CHINA

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Tin Placer Deposits in Fuhochungkiang Area,Northeastern Kuangsi and Southern Hunan,and with a note on the Distribution of Tin Belts in China

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地质学报 1943年第Z1期 89-103+105-106页

作者： C.Y.hsieh Mineral Exploration Bureau N.R.C.

I. INTRODUCTION In November of 1937, the writer together with Messrs. C. Wang, T. C. Chow and S. H. Lee were sent by the Geological Survey of China to investigate the tin placer deposits in Fuchuan, Hohsien, Chungshan... 详细信息

关键词： Tin Placer Deposits in Fuhochungkiang Area,Northeastern Kuangsi and Southern Hunan,and with a note on the Distribution of Tin Belts in China

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A Reviewofthe Stratigraphy, Structure and Geological History of the Szechuan red basin and the Occurrence of Natural Gas, Oil, Brines and Rock Salt Contained Therein with Special Discussions of their Origin and Future Prospects

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地质学报 1947年 55-83+413-414页

作者： C.Y.hsieh Mineral Exploration Bureau N.R.C

During recent years the geology of Szechuan is becoming better known through the studies of the Geological Survey of China and the Geological Survey of Szechuan. In regard to oil geology and the geology of salt, we are especially indebted to the works of Mr. Y. Y. Lee of the Yungli Chemical Industrial Company and Dr. T. K. Huang and Mr. P. F. Chen of the Central Geological Survey and Mr. C. C. Chao of the Geological Survey of Szechuan.

关键词： der Oil A Reviewofthe Stratigraphy

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The Impacts of Co-creation of Local Culture English Books on EFL 5th Graders＇ English Vocabulary Ability and Local Cultural Knowledge

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Journal of Literature and Art Studies 2016年第7期6卷 828-848页

作者： hsieh Yijung Chen Chinfen Wen-aou Elementary School Pinghu County Taiwan National Taipei University of Education Taipei Taiwan

The purpose of this study aims to explore the impacts of task-based co-creation of local picture books on facilitating the development of vocabulary ability and cultural knowledge ofEFL 5th graders with different English proficiency levels in Taiwan. Twenty-one 5th graders participated in this study forty minutes per week, lasting for sixteen weeks. They were required to co-create English picture books of Pinghu through thematic task-based activities. Research data required for the study were collected through the pre-/post-tests of vocabulary and cultural knowledge, a participants＇ feedback questionnaire as well as semi-structured interviews. The results of this study showed that after experimental instruction, EFL 5th graders significantly improved their recognition of the connection between English word sounds and word meanings, word meanings and word forms, word forms and word meanings, as well as spellings. Moreover, their local cultural knowledge was improved significantly as well. Furthermore, based upon the 5th graders＇ responses to questionnaire and semi-structure interview, most of them developed a very positive attitude towards the activities of co-creating local picture books and their interest, self-confidence in English writing, and English learning behavior. Based on the findings, some suggestions were offered for the pedagogical applications and future studies.

关键词： thematic writing task-based co-creation of picture books vocabulary ability cultural knowledge English learning attitude

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Antioxidant and hepatoprotective effects of Ajuga nipponensis extract by ultrasonic-assisted extraction

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Asian Pacific Journal of Tropical Medicine 2016年第5期9卷 409-414页

作者： Chang-Wei hsieh Wen-Ching Ko Wai-Jane Ho Chao-Kai Chang Guo-Jhou Chen Jen-Chieh Tsai Department of Medicinal Botanicals and Health Applications Da-Yeh University Biotechnology Research Center Da-Yeh University Department of Bioindustry Technology Da-Yeh University

Objective: To investigate suitable condition for extraction of the active components from Ajuga nipponensis(A. nipponensis). Methods: Orthogonal experimental design was used to determine the optimal extraction parameters for ecdysterones and flavonoids. Finally, the hepatoprotective abilities of A. nipponensis extracts were evaluated by CCl_4-induced animal models. Results:Maximum yields of flavonoids(7.87±0.10) mg/g and ecdysterones(0.73±0.02) mg/g could be obtained when the extraction time was 50 min, the extraction temperature was 60 ℃, and the ratio of sample to 70%(v/v) ethanol was 1:20(w/w). The antioxidant property of A. nipponensis was correlated to the concentration of its extracts. At 5 mg/m L, A. nipponensisextract scavenged 84.8% of DPPH radical and had absorbance values of 2.43±0.04 reducing power. Upon CCl_4-induced liver injury, glutamic oxaloacetic transaminase and glutamic pyruvic transaminase decreased significantly after the mice were treated with A. nipponensis. Histological researches also explained that A. nipponensis reduced the extent of liver lesions induced by CCl_4. Conclusions: A. nipponensis exhibited potent antioxidant activity in chemical experimental models and hepatoprotective effect against CCl_4-induced liver damage.

关键词： Ajuga nipponensis Ultrasonic-assisted extraction Orthogonal test Antioxidant hepatoprotection

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ON LOPINITE,A NEW TYPE OF COAL IN CHINA

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地质学报 1933年 525-541+543-548页

作者： C.Y.hsieh Prof.at the National University of Peking and Geologist of the Geological Survey

To the east of Nanchang,the capital of Kiangsi Province,there cropsout a continuous belt of Permian coal series;trending approximately in thedirection from *** *** speaking,this coal belt forms a synclinal

关键词： ON LOPINITE,A NEW TYPE OF COAL IN CHINA

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Palaeogeography as A Guide to Mineral Exploration

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地质学报 1948年第Z1期 1-11+13页

作者： C.Y.hsieh Mineral Exploration Bureau N.R.C.

The study of palaeogeography forms one of the main objectives in thegeological interpretation of the earth’s *** is made on the basis ofmineralogy,stratigraphy,structure,palaeontology,physiography,petrography,

关键词： rock

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Analysis of risk factors for central venous port failure in cancer patients

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World Journal of Gastroenterology 2009年第37期15卷 4709-4714页

作者： Ching-Chuan hsieh Hsu-Huei Weng Wen-Shih Huang Wen-Ke Wang Chiung-Lun Kao Ming-Shian Lu Chia-Siu Wang Division of General Surgery Department of Surgery ChangGung Memorial Hospital Chiayi 613 Taiwan China GraduateInstitute of Clinical Medical Science College of MedicineChang Gung University Taoyuan 333 Taiwan China Department of Diagnostic Radiology ChangGung Memorial Hospital Chiayi 613 Taiwan China Division of Colon and Rectal Surgery Department of Surgery Chang Gung Memorial Hospital Chiayi613 Taiwan China Division of Thoracic andCardiovascular Surgery Department of Surgery Chang GungMemorial Hospital Chiayi 613 Taiwan China Division of General Surgery Department ofSurgery Chang Gung Memorial Hospital Chiayi 613 TaiwanChina

AIM: To analyze the risk factors for central port failure in cancer patients administered chemotherapy, using univariate and multivariate analyses. METHODS: A total of 1348 totally implantable venous access devices (TIVADs) were implanted into 1280 cancer patients in this cohort study. A Cox proportional hazard model was applied to analyze risk factors for failure of TIVADs. Log-rank test was used to compare actuarial survival rates. Infection, thrombosis, and surgical complication rates (χ2 test or Fisher's exact test) were compared in relation to the risk factors. RESULTS: Increasing age, male gender and openended catheter use were signifi cant risk factors reducing survival of TIVADs as determined by univariate and multivariate analyses. Hematogenous malignancy decreased the survival time of TIVADs; this reduction was not statistically signifi cant by univariate analysis [hazard ratio (HR) = 1.336, 95% CI: 0.966-1.849, P = 0.080)]. However, it became a signifi cant risk factor by multivariate analysis (HR = 1.499, 95% CI: 1.079-2.083, P = 0.016) when correlated with variables of age, sex and catheter type. Close-ended (Groshong) catheters had a lower thrombosis rate than open-ended catheters (2.5% vs 5%, P = 0.015). Hematogenous malignancy had higher infection rates than solid malignancy (10.5% vs 2.5%, P < 0.001). CONCLUSION: Increasing age, male gender, openended catheters and hematogenous malignancy were risk factors for TIVAD failure. Close-ended catheters had lower thrombosis rates and hematogenous malignancy had higher infection rates.

关键词： Central venous port Chemotherapy Risk factor Cancer patient Multivariate analysis

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