AIM:To study the short-term outcome of patients treated with laparoscopic right colectomy and how intracorporeal anastomosis has improved the outcome.METHODS:We retrospectively examined all patients affected by colore...AIM:To study the short-term outcome of patients treated with laparoscopic right colectomy and how intracorporeal anastomosis has improved the outcome.METHODS:We retrospectively examined all patients affected by colorectal cancer who underwent a laparoscopic right colectomy between January 2006 and December 2010 in our department.Our evaluation criteria were:diagnosis of colorectal carcinoma at presurgical biopsy,elective surgery,and the same surgeon.We excluded:emergency surgery,conversions from laparotomic colectomy,and other surgeons.The endpoints we examined were:surgical time,number of lymph nodes removed,length of stay(removal of nasogastric tube,bowel movements,gas evacuation,solid and liquid feeding,hospitalization),and major complications.Seventy-two patients were divided into two groups:intracorporeal anastomosis(39 patients)and extracorporeal anastomosis(33 patients).RESULTS:Significant differences were observed between intracorporeal vs extracorporeal anastomosis,respectively,for surgical times(186.8 min vs 184.1 min,P < 0.001),time to resumption of gas evacuation(3 d vs 3.5 d,P < 0.001),days until resumption of bowel movements(3.8 d vs 4.9 d,P < 0.001),days until resumption of liquid diet(3.5 d vs 4.5 d,P < 0.001),days until resuming a solid diet(4.6 d vs 5.7 d,P < 0.001),and total hospitalization duration(7.4 d vs 8.5 d,P < 0.001).In the intracorporeal group,on average,19 positive lymph nodes were removed;in the extracorporeal group,on average,14 were removed P < 0.001).Thus,intracorporeal anastomosis for right laparoscopic colectomy improved patient outcome by providing faster recovery of nutrition,faster recovery of intestinal function,and shorter hospitalization than extracorporeal anastomosis.CONCLUSION:Short-term outcomes favor intracorporeal anastomosis,confirming that a less traumatic surgical approach improves patient outcome.展开更多
A novel suspension-floating-circulating fluidized combustion technology is proposed for burning coal slurry fuel in traditional circulating ftuidized bed boilers （CFBB）. This technology can solve some existing probl...A novel suspension-floating-circulating fluidized combustion technology is proposed for burning coal slurry fuel in traditional circulating ftuidized bed boilers （CFBB）. This technology can solve some existing problems in large- capacity CFBB burning coal slurry. The principles of the suspension-floating-circulating fluidized combustion technology were introduced in detail in this paper. A 130 t/h CFBB was retrofitted based on the technology, and the retrofitted system mainly includes a long-distance transport sub-system, a bed-material conveying sub-system with a wind-seal device invented by the authors, a superheater thermoregulation device using a novel temperature regulator, a return loop flu- idization facility, and a pneumatic ash conveying sub-system with sealed pump. The achieved performance of the retro- fitted CFBB shows that the thermal efficiency is 89.83 %, the combustion efficiency is 96.24 %, and the blending proportion of slurry is 94 %.展开更多
文摘AIM:To study the short-term outcome of patients treated with laparoscopic right colectomy and how intracorporeal anastomosis has improved the outcome.METHODS:We retrospectively examined all patients affected by colorectal cancer who underwent a laparoscopic right colectomy between January 2006 and December 2010 in our department.Our evaluation criteria were:diagnosis of colorectal carcinoma at presurgical biopsy,elective surgery,and the same surgeon.We excluded:emergency surgery,conversions from laparotomic colectomy,and other surgeons.The endpoints we examined were:surgical time,number of lymph nodes removed,length of stay(removal of nasogastric tube,bowel movements,gas evacuation,solid and liquid feeding,hospitalization),and major complications.Seventy-two patients were divided into two groups:intracorporeal anastomosis(39 patients)and extracorporeal anastomosis(33 patients).RESULTS:Significant differences were observed between intracorporeal vs extracorporeal anastomosis,respectively,for surgical times(186.8 min vs 184.1 min,P < 0.001),time to resumption of gas evacuation(3 d vs 3.5 d,P < 0.001),days until resumption of bowel movements(3.8 d vs 4.9 d,P < 0.001),days until resumption of liquid diet(3.5 d vs 4.5 d,P < 0.001),days until resuming a solid diet(4.6 d vs 5.7 d,P < 0.001),and total hospitalization duration(7.4 d vs 8.5 d,P < 0.001).In the intracorporeal group,on average,19 positive lymph nodes were removed;in the extracorporeal group,on average,14 were removed P < 0.001).Thus,intracorporeal anastomosis for right laparoscopic colectomy improved patient outcome by providing faster recovery of nutrition,faster recovery of intestinal function,and shorter hospitalization than extracorporeal anastomosis.CONCLUSION:Short-term outcomes favor intracorporeal anastomosis,confirming that a less traumatic surgical approach improves patient outcome.
文摘A novel suspension-floating-circulating fluidized combustion technology is proposed for burning coal slurry fuel in traditional circulating ftuidized bed boilers （CFBB）. This technology can solve some existing problems in large- capacity CFBB burning coal slurry. The principles of the suspension-floating-circulating fluidized combustion technology were introduced in detail in this paper. A 130 t/h CFBB was retrofitted based on the technology, and the retrofitted system mainly includes a long-distance transport sub-system, a bed-material conveying sub-system with a wind-seal device invented by the authors, a superheater thermoregulation device using a novel temperature regulator, a return loop flu- idization facility, and a pneumatic ash conveying sub-system with sealed pump. The achieved performance of the retro- fitted CFBB shows that the thermal efficiency is 89.83 %, the combustion efficiency is 96.24 %, and the blending proportion of slurry is 94 %.
