BACKGROUND Pure natural orifice transluminal endoscopic surgery(NOTES)for colorectal cancer is a complex procedure and rarely used in clinical practice because of the ethical concerns and technical challenges,includin...BACKGROUND Pure natural orifice transluminal endoscopic surgery(NOTES)for colorectal cancer is a complex procedure and rarely used in clinical practice because of the ethical concerns and technical challenges,including loss of triangulation,in-line orientation,and instrument collision.Transvaginal(v)NOTES,however,can overcome these technical challenges.We report a case of pure vNOTES right hemicolectomy for colon cancer,attached with surgical video.CASE SUMMARY A 65-year-old woman with a 2-year history of intermittent diarrhea was diagnosed with ascending colon adenocarcinoma by colonoscopy and biopsy.Pure vNOTES right hemicolectomy was performed with complete mesocolic excision by well-experienced surgeons.The operative time was 200 min and the estimated blood loss was 30 mL.No intraoperative or postoperative complications occurred within 30 d after the surgery.The visual analog scale pain score on postoperative day 1 was 1 and dropped to 0 on postoperative days 2 and 3.The patient was discharged at postoperative day 6.The pathologic specimen had sufficient clear resection margins and 14 negative harvested lymph nodes.CONCLUSION vNOTES right hemicolectomy,performed by well-experienced surgeons,overcomes the technical challenges of pure NOTES and may be feasible for colon cancer.展开更多
The corrosion evolution processes of steel reinforced concrete under simulated tidal and immersion zones of marine environment were investigated by using electrochemical measurements and corrosion morphology observati...The corrosion evolution processes of steel reinforced concrete under simulated tidal and immersion zones of marine environment were investigated by using electrochemical measurements and corrosion morphology observations. The results indicate that the corrosion of rebar in concrete under both environments experiences the deterioration from passivation to pitting corrosion and then to general corrosion. Specially, the pitting plays the major role only in the early stage of corrosion, and the general corrosion replaces the dominate role of pitting during the long-term corrosion. In addition, both the pitting depth on local surface and the rust thickness on the overall surface of rebar in the tidal condition are larger than those in immersion condition, which is attributed to the faster corrosion rate in tidal zone caused by the concentrated chloride ions and sufficient oxygen supply.展开更多
Susceptibility and morphological characteristics of crevice corrosion for SS316, SS904L, SS254sMo and SS2507 in thesimulated low-temperature multi-effect distillation environment were investigated by cyclic polarizati...Susceptibility and morphological characteristics of crevice corrosion for SS316, SS904L, SS254sMo and SS2507 in thesimulated low-temperature multi-effect distillation environment were investigated by cyclic polarization test, scanningelectron microscope and laser microscope. The results show that the crevice corrosion resistance of four kinds of stainlesssteel is ranked as SS254sMo ≈ SS2507 〉 SS316 〉 SS904L. There are ＂cover＂ structures over the edge of active crevicecorrosion regions of SS904L, SS254sMo and SS2507, but SS316 is an exception. Galvanic corrosion characteristicsappeared in the crevice of duplex supper stainless steel SS2507.展开更多
文摘BACKGROUND Pure natural orifice transluminal endoscopic surgery(NOTES)for colorectal cancer is a complex procedure and rarely used in clinical practice because of the ethical concerns and technical challenges,including loss of triangulation,in-line orientation,and instrument collision.Transvaginal(v)NOTES,however,can overcome these technical challenges.We report a case of pure vNOTES right hemicolectomy for colon cancer,attached with surgical video.CASE SUMMARY A 65-year-old woman with a 2-year history of intermittent diarrhea was diagnosed with ascending colon adenocarcinoma by colonoscopy and biopsy.Pure vNOTES right hemicolectomy was performed with complete mesocolic excision by well-experienced surgeons.The operative time was 200 min and the estimated blood loss was 30 mL.No intraoperative or postoperative complications occurred within 30 d after the surgery.The visual analog scale pain score on postoperative day 1 was 1 and dropped to 0 on postoperative days 2 and 3.The patient was discharged at postoperative day 6.The pathologic specimen had sufficient clear resection margins and 14 negative harvested lymph nodes.CONCLUSION vNOTES right hemicolectomy,performed by well-experienced surgeons,overcomes the technical challenges of pure NOTES and may be feasible for colon cancer.
基金financially supported by the National Natural Science Foundation of China (Nos. 51501201, 51501204 and 51671200)the National Key Research and Development Program of China (No. 2017YFB0702302)
文摘The corrosion evolution processes of steel reinforced concrete under simulated tidal and immersion zones of marine environment were investigated by using electrochemical measurements and corrosion morphology observations. The results indicate that the corrosion of rebar in concrete under both environments experiences the deterioration from passivation to pitting corrosion and then to general corrosion. Specially, the pitting plays the major role only in the early stage of corrosion, and the general corrosion replaces the dominate role of pitting during the long-term corrosion. In addition, both the pitting depth on local surface and the rust thickness on the overall surface of rebar in the tidal condition are larger than those in immersion condition, which is attributed to the faster corrosion rate in tidal zone caused by the concentrated chloride ions and sufficient oxygen supply.
基金supported by the National High Technology Research and Development Program(‘‘863’’ Program)of China(No.2015AA034301)the National Natural Science Foundation of China(No.51501201)
文摘Susceptibility and morphological characteristics of crevice corrosion for SS316, SS904L, SS254sMo and SS2507 in thesimulated low-temperature multi-effect distillation environment were investigated by cyclic polarization test, scanningelectron microscope and laser microscope. The results show that the crevice corrosion resistance of four kinds of stainlesssteel is ranked as SS254sMo ≈ SS2507 〉 SS316 〉 SS904L. There are ＂cover＂ structures over the edge of active crevicecorrosion regions of SS904L, SS254sMo and SS2507, but SS316 is an exception. Galvanic corrosion characteristicsappeared in the crevice of duplex supper stainless steel SS2507.
