Objective: To investigate the feasibility, safety and the clinical value of primary suture following 3-port laparoscopic common bile duct exploration (LCBDE). Methods: From January 2012 to September 2014, 176 patients...Objective: To investigate the feasibility, safety and the clinical value of primary suture following 3-port laparoscopic common bile duct exploration (LCBDE). Methods: From January 2012 to September 2014, 176 patients suffered from choledocholithiasis were treated with primary suture following 3-port LCBDE and the clinical data were retrospectively analyzed. Results: All cases were operated successfully and none was converted to open surgery. The duration of operation was 92.2 ± 18.8 min and the length of postoperative hospital stay was 4.4 ± 3.7 d. Postoperative bile leakage occurred in 2 cases and these patients recovered by simple drainage for 3 to 7 days without re-operation. All patients recovered smoothly without any serious complications. Conclusions: Primary suture following 3-port LCBDE is safe, effective and mini-invasive, which is worthy of further clinical application.展开更多
Objective:To study the differences in the body pain and trauma degree between uniportal and three-portal video-assisted thoracoscopic surgery for the treatment of lung cancer.Methods:A total of 108 patients with non-s...Objective:To study the differences in the body pain and trauma degree between uniportal and three-portal video-assisted thoracoscopic surgery for the treatment of lung cancer.Methods:A total of 108 patients with non-small cell lung cancer who received radical operation in our hospital between February 2013 and February 2016 were selected and divided into the uniportal group (n=52) who received uniportal video-assisted thoracoscopic surgery and the three-portal group (n=56) who received three-portal video-assisted thoracoscopic surgery after the operation methods and related laboratory results were reviewed. Before operation and 24 h after operation, the differences in serum levels of pain mediators, oxidative stress indexes and inflammation indexes were compared between the two groups of patients.Results: Before operation, the differences in serum levels of pain mediators, oxidative stress indexes and inflammation indexes were not statistically significant between the two groups of patients. 24 h after operation, serum pain mediators NE, DA and 5-HT levels of observation group were lower than those of control group;oxidative stress indexes MDA and O2- levels were lower than those of control group while SOD and GSH-Px levels were higher than those of control group;inflammation indexes IL-6, IL-8, CRP and TNF-α levels were lower than those of control group.Conclusion: Uniportal video-assisted thoracoscopic surgery for the treatment of lung cancer causes less surgery trauma, and patients' postoperative pain and systemic inflammatory stress response are lighter.展开更多
Due to the slow dynamic power-regulation characteristics of the electrolyser(EL),a novel integrated three-port DC/DC converter topology based on a phase-shifted full-bridge converter and dual active-bridge converter i...Due to the slow dynamic power-regulation characteristics of the electrolyser(EL),a novel integrated three-port DC/DC converter topology based on a phase-shifted full-bridge converter and dual active-bridge converter is proposed in this paper.Especially,the proposed converter can achieve a fast auxiliary response to the EL.This topology has the features of single-stage conversion,high system integration and compatibility with multiple operation modes.The operational principles and a hybrid modulation scheme of the proposed converter are analysed in detail.In addition,the power-transmission characteristics of each port and the soft-switching range are researched.On these bases,six operation modes suitable for a hydrogen energy-storage system are designed.The simulation and a 2-kW scaled-down experimental prototype are established to verify the feasibility and effectiveness of the proposed topology in different operation modes.展开更多
为分析智能软开关(soft open point,SOP)连续调节能力对柔性配电网(flexible distribution network,FDN)风险的影响。首先,实现基于三点估计的FDN风险评估方法;采用三点估计法结合交直流交替迭代法和Gram-Charlier级数展开法进行FDN概...为分析智能软开关(soft open point,SOP)连续调节能力对柔性配电网(flexible distribution network,FDN)风险的影响。首先,实现基于三点估计的FDN风险评估方法;采用三点估计法结合交直流交替迭代法和Gram-Charlier级数展开法进行FDN概率潮流计算,获得节点电压与支路有功功率的概率密度函数,使用越限偏移量结合风险偏好型效用函数构建严重度函数,根据风险评估理论建立并计算风险评估指标。其次,在此基础上,提出一种计及SOP参数优化的FDN风险评估方法;以系统总风险最低为目标,建立计及SOP参数优化的FDN风险评估模型,采用粒子群优化算法结合基于三点估计的FDN风险评估方法对其进行求解,用得到的结果去配置SOP,并对此FDN进行风险评估。以3个IEEE 33节点网络通过三端口SOP互联形成的FDN为例,验证了所提风险评估方法的有效性,分析了SOP连续调节能力以及不同接入位置对FDN风险的影响。展开更多
The current-pulse load is generally characterized by wide frequency band and pulse variation,when it is directly connected to the power supply bus.The load power is presented as the instantaneous power.In order to bal...The current-pulse load is generally characterized by wide frequency band and pulse variation,when it is directly connected to the power supply bus.The load power is presented as the instantaneous power.In order to balance the instantaneous power difference between the pulse load and the DC bus,a bi-directional DC/DC converter is usually connected in parallel to compensate for the current fluctuation caused by the characteristics of the pulse load.However,there is a large current spike in the bus current in the pre-stage when the pulse load is changed between light and heavy load.In this paper,a three-state dual-inductance bi-directional converter is proposed.In addition,the load current waveform is directly used to control the inductive branch switches,and an adaptive current feedback control strategy based on the valley voltage loop is proposed to control the power switches.The control method is applicable to the arbitrary change of the frequency and power of the pulse load.Finally,the experimental results show that the threestate dual-inductance bi-directional converter not only eliminates excessive bus current spikes,but also improves the transient response of the three-port power supply system.展开更多
AIM:To improve the standard three-port vitrectomy for establishing and evaluating an endotamponade model in rabbits.METHODS:Three ports were prepared near the third eyelid of rabbits,and the infusion port was placed a...AIM:To improve the standard three-port vitrectomy for establishing and evaluating an endotamponade model in rabbits.METHODS:Three ports were prepared near the third eyelid of rabbits,and the infusion port was placed at the inferior nasal quadrant with the inserted cannula linking with a self-designed handheld rigid infusion catheter.All right eyes of rabbits underwent a modified 25-gauge vitrectomy and were subsequently filled with balanced salt solution,silicone oil,and eight-arm polyethylene glycols(8-arm PEGs)hydrogel separately for comparison.Ophthalmic examinations were performed regularly to record the changes after the surgery.RESULTS:Successful vitrectomy was achieved among 44 chinchilla rabbits.The mean operation time was 4.51±1.25min.Four eyes(9.1%)presented limited lens touch and two eyes(4.5%)showed retinal touch during surgery.Incision leakage was found in three eyes(6.8%)after surgery.There was no endophthalmitis,hemorrhage,or retinal detachment during the observation period and ophthalmic examinations after the implantation of vitreous substitutes.CONCLUSION:The modified technique of the standard vitrectomy applied in the endotamponade model in rabbits shows excellent safety and practicality.展开更多
文摘Objective: To investigate the feasibility, safety and the clinical value of primary suture following 3-port laparoscopic common bile duct exploration (LCBDE). Methods: From January 2012 to September 2014, 176 patients suffered from choledocholithiasis were treated with primary suture following 3-port LCBDE and the clinical data were retrospectively analyzed. Results: All cases were operated successfully and none was converted to open surgery. The duration of operation was 92.2 ± 18.8 min and the length of postoperative hospital stay was 4.4 ± 3.7 d. Postoperative bile leakage occurred in 2 cases and these patients recovered by simple drainage for 3 to 7 days without re-operation. All patients recovered smoothly without any serious complications. Conclusions: Primary suture following 3-port LCBDE is safe, effective and mini-invasive, which is worthy of further clinical application.
基金Projects of Natural Science Foundation of China No:81373941.
文摘Objective:To study the differences in the body pain and trauma degree between uniportal and three-portal video-assisted thoracoscopic surgery for the treatment of lung cancer.Methods:A total of 108 patients with non-small cell lung cancer who received radical operation in our hospital between February 2013 and February 2016 were selected and divided into the uniportal group (n=52) who received uniportal video-assisted thoracoscopic surgery and the three-portal group (n=56) who received three-portal video-assisted thoracoscopic surgery after the operation methods and related laboratory results were reviewed. Before operation and 24 h after operation, the differences in serum levels of pain mediators, oxidative stress indexes and inflammation indexes were compared between the two groups of patients.Results: Before operation, the differences in serum levels of pain mediators, oxidative stress indexes and inflammation indexes were not statistically significant between the two groups of patients. 24 h after operation, serum pain mediators NE, DA and 5-HT levels of observation group were lower than those of control group;oxidative stress indexes MDA and O2- levels were lower than those of control group while SOD and GSH-Px levels were higher than those of control group;inflammation indexes IL-6, IL-8, CRP and TNF-α levels were lower than those of control group.Conclusion: Uniportal video-assisted thoracoscopic surgery for the treatment of lung cancer causes less surgery trauma, and patients' postoperative pain and systemic inflammatory stress response are lighter.
基金supported by the National Key R&D Program of China (no.2018YFB1503100)the National Natural Science Foundation of China (no.51907021).
文摘Due to the slow dynamic power-regulation characteristics of the electrolyser(EL),a novel integrated three-port DC/DC converter topology based on a phase-shifted full-bridge converter and dual active-bridge converter is proposed in this paper.Especially,the proposed converter can achieve a fast auxiliary response to the EL.This topology has the features of single-stage conversion,high system integration and compatibility with multiple operation modes.The operational principles and a hybrid modulation scheme of the proposed converter are analysed in detail.In addition,the power-transmission characteristics of each port and the soft-switching range are researched.On these bases,six operation modes suitable for a hydrogen energy-storage system are designed.The simulation and a 2-kW scaled-down experimental prototype are established to verify the feasibility and effectiveness of the proposed topology in different operation modes.
文摘为分析智能软开关(soft open point,SOP)连续调节能力对柔性配电网(flexible distribution network,FDN)风险的影响。首先,实现基于三点估计的FDN风险评估方法;采用三点估计法结合交直流交替迭代法和Gram-Charlier级数展开法进行FDN概率潮流计算,获得节点电压与支路有功功率的概率密度函数,使用越限偏移量结合风险偏好型效用函数构建严重度函数,根据风险评估理论建立并计算风险评估指标。其次,在此基础上,提出一种计及SOP参数优化的FDN风险评估方法;以系统总风险最低为目标,建立计及SOP参数优化的FDN风险评估模型,采用粒子群优化算法结合基于三点估计的FDN风险评估方法对其进行求解,用得到的结果去配置SOP,并对此FDN进行风险评估。以3个IEEE 33节点网络通过三端口SOP互联形成的FDN为例,验证了所提风险评估方法的有效性,分析了SOP连续调节能力以及不同接入位置对FDN风险的影响。
基金This work was supported by the National Natural Science Foundation of China under Grant 61601378the Sichuan Science and Technology Program under Grant 2019YJ0237Foundation of Key Laboratory of Magnetic Suspension Technology and Maglev Vehicle,Ministry of Education.
文摘The current-pulse load is generally characterized by wide frequency band and pulse variation,when it is directly connected to the power supply bus.The load power is presented as the instantaneous power.In order to balance the instantaneous power difference between the pulse load and the DC bus,a bi-directional DC/DC converter is usually connected in parallel to compensate for the current fluctuation caused by the characteristics of the pulse load.However,there is a large current spike in the bus current in the pre-stage when the pulse load is changed between light and heavy load.In this paper,a three-state dual-inductance bi-directional converter is proposed.In addition,the load current waveform is directly used to control the inductive branch switches,and an adaptive current feedback control strategy based on the valley voltage loop is proposed to control the power switches.The control method is applicable to the arbitrary change of the frequency and power of the pulse load.Finally,the experimental results show that the threestate dual-inductance bi-directional converter not only eliminates excessive bus current spikes,but also improves the transient response of the three-port power supply system.
基金Supported by the Project of National Key Research and Development(No.2018YFC1106103)the Health Commission of Hubei Province Scientific Research Project(No.WJ2019Q024).
文摘AIM:To improve the standard three-port vitrectomy for establishing and evaluating an endotamponade model in rabbits.METHODS:Three ports were prepared near the third eyelid of rabbits,and the infusion port was placed at the inferior nasal quadrant with the inserted cannula linking with a self-designed handheld rigid infusion catheter.All right eyes of rabbits underwent a modified 25-gauge vitrectomy and were subsequently filled with balanced salt solution,silicone oil,and eight-arm polyethylene glycols(8-arm PEGs)hydrogel separately for comparison.Ophthalmic examinations were performed regularly to record the changes after the surgery.RESULTS:Successful vitrectomy was achieved among 44 chinchilla rabbits.The mean operation time was 4.51±1.25min.Four eyes(9.1%)presented limited lens touch and two eyes(4.5%)showed retinal touch during surgery.Incision leakage was found in three eyes(6.8%)after surgery.There was no endophthalmitis,hemorrhage,or retinal detachment during the observation period and ophthalmic examinations after the implantation of vitreous substitutes.CONCLUSION:The modified technique of the standard vitrectomy applied in the endotamponade model in rabbits shows excellent safety and practicality.
