Diaphragmatic suture with tubular stomach to prevent early delayed gastric emptying after esophagectomy

Objective The objective of this study was to evaluate the clinical efficacy of a diaphragmatic suture with tubular stomach to prevent delayed gastric emptying(DGE) after esophagectomy through the cervico-thoracoabdominal approach. Methods A total of 980 patients with esophageal cancer undergoing esophagectomy through the cervico-thoracoabdominal approach were retrospectively included in this study and divided into two groups. All patients underwent tubular stomach creation(group A; n = 530) or a diaphragmatic suture and tubular stomach creation(group B; n = 450). The incidence of early DGE was observed. Results The incidence of early DGE in group A was significantly higher than that in group B(P < 0.05). Conclusion This observation study suggests that the use of a diaphragmatic suture with tubular stomach through the cervico-thoracoabdominal approach can decrease the incidence of early DGE after esophagectomy.

金纳米星的制备、表面修饰及其在生物医学领域的应用研究

随着纳米技术的飞速发展,复杂三维结构的金纳米星已成为一种新型纳米材料。金纳米星具有独特的物理化学性质,如可调制的LSPR光学特性、SERS效应、光热特性、较大的比表面积等,这些性质使其在纳米材料和生物医学领域具有极高的潜在应用价值。本文首先介绍了金纳米星独特的光学性质,并对这些光学特性的理论基础进行解释;接着对近年来国内外制备金纳米星的主要方法进行阐述,主要包括种子介导生长法和一步合成法,这两种制备方法均存在各自的优缺点。在功能化的探针构筑方面,金纳米星的表面修饰主要包括两种方法:二氧化硅包裹金纳米星和高分子聚合物或生物分子修饰金纳米星。在应用方面,本文对金纳米星在生物分子检测、医学成像、肿瘤的诊断与光热治疗、药物传输和控制释放方面的最新研究进展进行了总结。最后,对目前金纳米星探针在制备和应用中存在的一些问题进行了探讨,并展望了该领域未来的研究内容和方向。