Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas

AIM: To study the efficacy of the enhanced recovery after surgery(ERAS) program in laparoscopic radical gastrectomy for stomach carcinomas.METHODS: From June 2010 to December 2012, 61 gastric cancer patients who underwent laparoscopicassisted radical gastrectomy with D2 lymphadenectomy at First Hospital of Jilin University were enrolled in this randomized controlled trial.(Clinical Trials.gov, registration ID: NCT01955096). The subjects were divided into the ERAS program group and the conventional control group. The clinical characteristics, recovery variables, and complications of patients were analyzed.RESULTS: The time to first ambulation, oral food intake, and time to defecation were significantly shorter in the ERAS group(n = 30), compared to the conventional group(n = 31; P = 0.04, 0.003, and 0.01, respectively). The postoperative hospital stay was less in the ERAS group(6.8 ± 1.1 d) compared to the conventional group(7.7 ± 1.1 d)(P = 0.002). There was no significant difference in postoperative complications between the ERAS(1/30) and conventional care groups(2/31)(P = 1.00). There were no readmissions or mortality during the 30-d follow-up period.CONCLUSION: The ERAS program is associated with a shorter hospital stay in gastric cancer patients undergoing laparoscopic radical gastrectomy. The ERAS protocol is useful in the treatment of gastric cancer.

Shaly detritus embedded epoxy-resin coated proppants

Proppant plays a significant role in the hydraulic fracturing process, which can affect the production of oil and gas wells. Due to the high density and low adhesion force, the settling speed of traditional proppants is fast, which will lead to the blockage of a crack channel. In this study, a proppant with double layer structure is fabricated by coating epoxy-resin and shaly detritus on ceramic proppants for the first time,respectively. The epoxy-resin enables the shaly detritus to be coated on the proppant successfully, which can provide a new method for shaly detritus treatment. The adhesive ability of shaly detritus and epoxyresin coated proppants(SEPs) is improved by 10.4% under the load force of 500 n N, which prolongs the time for the fracture to close. At the same time, the suspending ability of SEPs is two times higher than the uncoated proppants. Once the guar gum solution concentration is 0.3 wt%, the settling time of SEPs is36.7% longer than that of the uncoated proppants, which can effectively reduce the settlement of proppants in the crack. In addition, the hydrophobicity of the SEPs is enhanced, which reduces the wateroil ratio of crude oil and increases the liquid conductivity tested by deionized water. In summary, this new proppant is expected to promote the development of unconventional oil and gas resources.