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Robot-assisted trans-gastric drainage and debridement of walled-off pancreatic necrosis using the EndoWrist stapler for the da Vinci Xi:A case report

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World Journal of Clinical Cases 2019年第12期7卷 1461-1466页

作者： Luca Morelli Niccolò Furbetta Desirée Gianardi Matteo Palmeri Gregorio Di Franco Matteo Bianchini Gianni Stefanini Simone Guadagni Giulio Di Candio General Surgery Unit Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa Pisa 56124 Italy EndoCAS (Center for Computer Assisted Surgery) University of Pisa Pisa 56124 Italy

BACKGROUND Walled-off pancreatic necrosis (WOPN) is a late complication of acute pancreatitis. The management of a WOPN depends on its location and on patient's symptoms. Trans-gastric drainage and debridement of WOPN represents an important surgical treatment option for selected patients. The da Vinci surgical System has been developed to allow an easy, minimally invasive and fast surgery, also in challenging abdominal procedures. We present here a case of a WOPN treated with a robotic trans-gastric drainage using the da Vinci Xi. CASE SUMMARY A 63-year-old man with an episode of acute necrotizing pancreatitis was referred to our center. Six wk after the acute episode the patient developed a walled massive fluid collection, with an extensive pancreatic necrosis, causing obstruction of the gastrointestinal tract. The patient underwent a robotic transgastric drainage and debridement of the WOPN performed with the da Vinci Xi platform. Firstly, an anterior ideal gastrotomy was carried out, guided by intraoperative ultrasound (US)-scan using the TilePro? function. Then, through the gastrotomy, the best location for drainage on the posterior gastric wall was again US-guided identified. The anastomosis between the posterior gastric wall and the walled-off necrosis wall was carried out with the new EndoWrist stapler with vascular cartridge. Debridement and washing of the cavity through the anastomosis were performed. Finally, the anterior gastrotomy was closed and the cholecystectomy was performed. The postoperative course was uneventful and a post-operative computed tomography-scan showed the collapse of the fluid collection. CONCLUSION In selected cases of WOPN the da Vinci Surgical System can be safely used as a valid surgical treatment option.

关键词： Case report da Vinci Xi EndoWrist stapler Walled-off pancreatic necrosis TilePro Minimally-invasive surgery

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Plasma pharmacological study on da Huang Zhe Chong capsule on platelet aggregation of normal person

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Journal of Central South University of Technology 2005年第z1期12卷 326-330页

作者： WANG Dong-sheng CHEN Fang-ping XIAO Chang-jiang HE Shi-lin FU Bin LI Xin CAO Xing-yu CHEN Yan XIE Qin-zhi Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China

Objective To develop a plasma pharmacological method evaluates the effect of da Huang Zhe Chong capsule on platelet aggregation and its mechanism, which is a representative Traditional Chinese Medicine Patent Prescription Promoting blood circulation by removing blood stasis. Methods Platelets specimens from healthy volunteers made serum and plasma with medicine, while platelet PRP were separated, which were divided into 8groups,i.e. auto-serum, allo-serum, serum with da Huang Zhe Chong capsule , serum with aspirin, auto-plasma, plasma with da Huang Zhe Chong capsule, plasma with aspirin, every group added to serum and plasma to hatch. After ADP and adrenalin were added into the specimens and hatched, the effects of specimens on platelet aggregation were observed. Results After ADP adrenalin were added, all the serum groups did not present platelet aggregation,while all the plasma group presented platelet aggregation. P1, P5, Pmax, t and TM have no significant difference (P＞0. 05) between auto-plasma group and allo-plasma group induced by ADP and adrenalin. P1, P5, t and Pmax have significant differences (P＜0. 01) and TM decreased significantly (P＜0. 05) comparing plasma group with da Huang Zhe Chong capsule and plasma group of aspirin to allo-plasma group. P1, t and Pmax have significant difference (P＜0.05), and P5 and TM are simulate comparing plasma group with da Huang Zhe Chong capsule to plasma group of aspirin. P1, P5, t and Pmax have significant differences (P＜0. 01), P1, TM have also significant(P＜0. 05), comparing plasma group of da Huang Zhe Chong capsule with plasma of aspirin to allo-plasma group induced by adrenalin. P1 ,P5 and Pmax have significant differences (P＜0.05), and t and Pmax are simulate comparing plasma group with da Huang Zhe Chong capsule with plasma group of aspirin. Conclusion The serum pharmacological study is inappropriate to study platelet aggregation in vitro. The plasma pharmacological study is inappropriate to study platelet aggrega

关键词： da Huang Zhe Chong capsule plasma pharmacology platelet aggregation

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THE STRUCTURES OF YIYELIANGWANOSIDE Ⅶ AND Ⅷ FROM THE BARK OF NOTHOPANAX da VIDII(FRANCH)HARMS

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Chinese Chemical Letters 1993年第2期4卷 133-136页

作者： Shi Shan YU De Quan YU Xiao Tian LIANG Institute of Materia Medica,Chinese Academy of Medical Sciences,Beijing,China,100050

Twonew oleanane type saponins wereisolated from the alcoholic extract of the bark of Nothopanax davidii(Franch)Harms(Araliaceae).Their structures have been determined on th e basis of spectral and chemical data as 3-O-β-(2',4'-O-diacetyl)-D-xylopyranosyl-3β-hydroxyolean-12-ene- 28,29-dioic acid-28-O-[α-L-rhamnopyranosyl(1-4)-β-D-glucopyranosyl(1-6)-β-D-glucopyranosyl] ester(1),named yiyeliangwanoside Ⅷ;3-O-β-(3'-O-acetyl)-D-xylopyranosyl-3β-hydroxyolean-12- ene-28,29-dioic acid-28-O-[O-L-rhamnopyranosyl(1-4)-β-D-glucopyranosyl(1-6)-β-D- glucopyranosyl] ester(Ⅱ),named yiyeliangwanoside Ⅷ.

关键词： FROM THE BARK OF NOTHOPANAX da VIDII THE STRUCTURES OF YIYELIANGWANOSIDE AND GIC FAB da

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开闭所da的分布式设计

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电网技术 2004年第2期28卷 68-70页

作者：张鹰周敬嵩曹建伟湖州电力局浙江省湖州市313000

对城市开闭所配电自动化(da)的分布式设计进行了详细介绍,归纳了主要设计原则,并就关键问题进行了探讨。通过与集中组屏式设计相比,指出采用分布式设计实现开闭所的配电自动化将成为配电自动化技术发展的方向。

关键词：配电自动化系统配电网 da 分布式设计电力系统城市开闭所

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da Nao": The Internal Structure and Cultural Code of "Re Nao

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Journal of Literature and Art Studies 2019年第6期9卷 548-562页

作者： Li Yong ping Literature College Shaanxi Normal University

The essence of the character “Nao” had already been fostered in the western Han Dynasty. It is the latter word of the expression “Re Nao”, which essentially refers to lively and bustling with excitement in folklore, maintains immensely prolific social functions. Re Nao (jollification) exists as an integral part in the internal structure of rite of passage or the adult rituals of transit. Re Nao aids in devising a warm atmosphere and reorganizing the living environment. It is the way to go through the threshold stage, which leads to the entrance to a new stage, while the ceremonial undertakings under this threshold stage help in eradicating pollution and restoring cleanliness. The internal mechanism of Re Nao includes the transitional ceremonies in the perilous double test of nature and society: while in the folk custom ceremony, the ritualistic suppressing and trapping of demons is completed by the shaman. da Nao (causing chaos and noise) breeds danger to vitality and harmony or chaos for the coexistence of humans and gods.“da Nao” and “Re Nao” are popular complementary representations of folk ceremonial activities. It was witnessed in the past, celebrations like New Year’s Eve, Lantern Festival, Fang Xiangshi (Chinese ritual exorcist—one who sees evil in all four directions), Tongzi (cosplay done by the villagers) and the festival demonstrating invisible transcendence of the world (world of ghosts) displayed fierce spirit and were eminently lively. It can be said that for the spiritual time and sacred space of the traditional society, it is vital to periodically perform the rites of “da Nao—beheaded demon”: and perform the scenes of “Re Nao” ceremony through da Nao rites to fulfill the purpose of purification.

关键词： Nao da Nao Re Nao Threshold Cultural codes

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(da)/（dN）与K1间关系的探讨

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金属学报 1978年第2期14卷 111-117页

作者：陈篪北京钢铁研究院

本文证明我们所建议的关系: （da/dN）-C[（△K）2-K22/K12-（△K）2]p能够很好地表达R=(Kmin/Kmax)=常数时（da/dN）随△K的全部变化,其中P值在1左右,C约在3×10-3—10-2毫米/周之间。

关键词： da K1 dN

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Modulation by desensitized nicotinic receptors on metabolism of da in striatum derived from the hemiparkinsonian model

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中国应用生理学杂志 2016年第6期32卷 487-493页

作者： Fu-rong HAN Hai WANG Department of Pharmacy Beijing Tongren HospitalCapital Medicine University Cardiovascular Drug Research Center Academy of Military Medical Sciences Cardiovascular Drug Research Center Thadweik Academy of Medicine

Objective: The purpose of this study was to investigate the effects of desensitized nicotinic receptors(n ACh Rs) on striatal dopaminergic system in the hemiparkinsonian rats treated with 6-hydroxydopamine(6-OHda). Methods: We examined the effects of desensitized n ACh Rs on the levels of dopamine(da) and its metabolites, m RNA expression of dopamine receptor D1,D2 and monoamine oxidase B(MAO-B) in the striatum of 6-OHda-lesioned rats using high-performance liquid chromatography and reverse transcription-polymerase chain reaction. Results: The results showed that n ACh Rs desensitization following repeated nicotine stimulation could reverse significantly the decrease of striatal da and its metabolites levels and the increase in da turnover in lesioned side striatum of hemiparkinsonian rats. Dopamine D1 receptor m RNA expression increased significantly, whereas dopamine D2 receptor m RNA expression remained unchanged in lesioned side striatum of nicotine-treated rats compared to 6-OHda-lesioned rats when n ACh Rs were desensitized. Meanwhile, nicotine-treated rats displayed a significant decrease in MAO-B m RNA expression in lesioned side striatum compared to 6-OHda-lesioned rats after n ACh Rs desensitization. Conclusion: These results suggest that n ACh Rs desensitization could promote da level, upregulate dopamine D1 receptor expression and downregulate MAO-B expression in striatum of hemiparkinsonian rats.

关键词：烟碱受体帕金森病代谢产物纹状体 da 多巴胺D2受体模型逆转录聚合酶链反应

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Expression and correlation of 5-HT, da, IL-6, and TNF-α in rats with CIA and depression

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TMR Pharmacology Research 2021年第3期1卷 22-28页

作者： Nuerxiati·Tabushi Cong shan Meng Yan Nadire·Kaheman Luo li The First Affiliated Hospital of Xinjiang Medical University UrumchiXinjiang830011 Xinjiang Medical University UrumchiXinjiang830011

Background:Tomeasure the expression and correlation of 5-HT(5-hydroxytryptamine),da(Dopamine),IL-6,and TNF-αin the brain tissue and serum of rats in a model of collagen-induced arthritis(CIA)with depression,and to explore the pathogenesis of rheumatoid arthritis with ***:After one week ofnormal feeding,80 Wistar rats were randomly divided into 4 groups of 20 rats each including a blank group,CIA group,depression group,and a model *** modeling,the rats were subjected to sucrose consumption,tail suspension experiments for behavioral measurements,synovial tissue pathology,and enzyme-linked immunosorbent assay to measure the levels of 5-HT,da,IL-6,and TNF-αin the brain tissue and ***:①Comparison of 5-HT and da levels:Compared with the blank group,the levels of 5-HT and da in the brain were lower in the model group,depression group,and CIA *** levels of 5-HT in the model group were significantly lower compared with those in the depression and CIA group(Pda and 5-HT in serum were significantly lower in the depression group comparedwith the blank group,model group,and CIA group,and were significantly lower in the model group compared with the CIA group(P<0.05).②Comparison of IL-6 and TNF-αlevels:Compared with the blank group,IL-6 and TNF-αexpression in the brain of the model group,depression group,and CIA group were significantly increased,whereas IL-6 levels were increased in the model group compared with the CIA ***-αwas significantly increased in the model group compared with the depression and CIA group.(P<0.05).Compared with the blank group,the serum levels of IL-6 and TNF-αwere significantly increased in the model group,depression grop,and CIA group,whereas IL-6 and TNF-αlevels were significantly increased in the model group compared with the CIA group(P<0.05).③Correlation analysis:IL-6 in the blood exhibited a positive correlation with ***-αin the blood had a negative correlation with 5-HT in the b

关键词： rheumatoid arthritis depression 5-HT da IL-6 TNF-α

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da Vinci机器人辅助腹腔镜Soave拖出术治疗先天性巨结肠症

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中国微创外科杂志 2016年第2期16卷 165-167,184页

作者：张茜汤绍涛曹国庆王勇雷海燕李帅李康华中科技大学同济医学院附属协和医院小儿外科武汉430022

目的探讨daVinci机器人辅助先天性巨结肠Soave拖出术的可行性。方法2015年5～8月行daVinci机器人辅助巨结肠Soave拖出术3例。采用四孔技术，调整患儿体位和trocar位置后，完成daVinci机器人与患儿的对接。肠壁浆肌层活检明确病变范围，... 详细信息

目的探讨daVinci机器人辅助先天性巨结肠Soave拖出术的可行性。方法2015年5～8月行daVinci机器人辅助巨结肠Soave拖出术3例。采用四孔技术，调整患儿体位和trocar位置后，完成daVinci机器人与患儿的对接。肠壁浆肌层活检明确病变范围，单级电凝或超声刀游离直肠、乙状结肠系膜。解除机器人与患儿的对接，转至会阴部操作。电凝分离直肠黏膜达腹膜返折水平，采用改进的Soave技术进行吻合。结果移行区1例位于直肠，1例位于直肠乙状结肠交界处，1例位于乙状结肠上段。手术时间分别为160、170、200min，无术中并发症。住院时间分别为7、7、14d。3例分别随访35、65、88d，1例患儿因吻合口轻度狭窄需每日扩肛，持续1个月后好转，无小肠结肠炎表现。结论daVinci机器人手术系统可安全地应用于婴幼儿巨结肠Soave拖出手术，更清晰地显示系膜血管和盆腔细微的组织结构，操作灵巧，有效避免副损伤。

关键词：先天性巨结肠症 da Vinci机器人手术系统腹腔镜手术 Soave拖出术

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DETECTION OF FOREST FIRE IN da HINGGAN LING REGION BY METEOROLOGICAL SATELLITE

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Acta meteorologica Sinica 1989年第4期3卷 562-568页

作者：章基嘉张青山赁常恭刘诚董超华 State Meteorological Administration Beijing Satellite Meteorology Center State Meteorological AdministrationBeijing

From May 6 to June 2,1987,a huge forest fire broke out and raged for 28 days in da Hinggan Ling region in far Northeast China,causing heavy loss of life and property,which claims the biggest forest fire disaster in Chinese *** fire drew attention of the whole of China and was also concerned by many other *** were the meteorological satellites used in the detection of the forest fire?This paper elaborates the principles and methods of the fire detection using meteorological satellites,so that to sum up the experience and to increase the ability of forest fire detection.

关键词： DETECTION OF FOREST FIRE IN da HINGGAN LING REGION BY METEOROLOGICAL SATELLITE than high da

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