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用于机器人中低位直肠癌术后预防吻合口漏的一项新技术研究 被引量:2
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作者 常文举 任黎 +7 位作者 何国栋 刘天宇 吉美玲 监谧 陈伊教 吕敏之 韦烨 许剑民 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第3期132-139,共8页
目的:吻合口漏(anastomotic leakage,AL)是低位直肠癌保肛术后的严重并发症,亟需确切有效的预防措施。本研究旨在评估机器人低位直肠癌前切除术(low anterior resection,LAR)联合创新技术预防AL的临床价值。方法:选取2012年5月至2017年5... 目的:吻合口漏(anastomotic leakage,AL)是低位直肠癌保肛术后的严重并发症,亟需确切有效的预防措施。本研究旨在评估机器人低位直肠癌前切除术(low anterior resection,LAR)联合创新技术预防AL的临床价值。方法:选取2012年5月至2017年5月,于复旦大学附属中山医院接受机器人LAR治疗的601例患者,其中191例患者为对照组(non-PST组),410例患者为治疗组(PST组)。分析比较两组AL发生率、围手术期结局和长期生存率;多因素回归分析机器人LAR术后AL的高危因素。结果:依据ISREC分级,601例患者的总体AL发生率为6.8%,其中B级为5.7%,C级为1.1%。其中PST组的总体AL发生率(5.1%)明显低于non-PST组(10.5%,P=0.015);PST组的C级AL也明显改善(0.2%vs.3.2%,P=0.005)。此外,PST组的手术并发症率(17.3%vs.20.9%,P=0.286)和再手术率(2.7%vs.6.3%,P=0.038)较non-PST组均显著降低。长期结局分析提示两组的局部复发率和长期生存率无显著差异。多因素回归分析提示non-PST技术、术中出血量≥100 mL、吻合口距离肛缘<5 cm以及远端切缘距离肿瘤<2 cm分别是机器人LAR术后AL发生的高危因素。结论:机器人LAR联合PST技术是一种有效预防AL的方法,在临床实践中可避免常规实施保护性造口术。 展开更多
关键词 低位前切除术 机器人直肠手术 吻合口漏 危险因素 预防治疗
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Control of meta-selectivity in the Ir-catalyzed aromatic C-H borylation directed by hydrogen bond interaction:A combined computational and experimental study
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作者 wenju chang Yajun Wang +2 位作者 Yu Chen Jiawei Ma Yong Liang 《Chinese Chemical Letters》 SCIE CAS CSCD 2023年第5期263-267,共5页
The origin of regioselectivity in meta-selective C-H borylation of benzamides directed by hydrogen bond interaction between ligand and substrate is elucidated through combined computational and experimental studies.We... The origin of regioselectivity in meta-selective C-H borylation of benzamides directed by hydrogen bond interaction between ligand and substrate is elucidated through combined computational and experimental studies.We discover that a non-directed pathway,in which the urea moiety in ligand recognizes the O atom in Bpin instead of substrate,competes with the directed pathway and erodes the meta-selectivity.The non-directed pathway is sensitive to steric repulsion between Bpin and urea,and thus can be impeded by introducing a bulky substituent into the urea moiety.Accordingly,we optimize the ligand and improve the meta-selectivity in the Ir-catalyzed C-H borylation of some previously reported unsuccessful arenes. 展开更多
关键词 Meta-C-H borylation Regioselectivity DFT calculation Ligand design Hydrogen bond
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Selective annulation of benzamides with internal alkynes catalyzed by an electron-deficient rhodium catalyst
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作者 Ping Zhang wenju chang +6 位作者 Hongyun Jiao Yanshang Kang Wenxuan Zhao Peipei Cui Yong Liang Wei-Yin Sun Yi Lu 《Chinese Chemical Letters》 SCIE CAS CSCD 2021年第5期1717-1720,共4页
An electron-deficient[CpERhCl2]2 catalyzed annulation of N-pentafluorophenylbenzamides with internal alkynes was successfully established under mild reaction conditions,with the assistance of Lewis acid silver salt.Pa... An electron-deficient[CpERhCl2]2 catalyzed annulation of N-pentafluorophenylbenzamides with internal alkynes was successfully established under mild reaction conditions,with the assistance of Lewis acid silver salt.Particularly,electron-deficient benzamide substrates were smoothly transformed into the desired products in this catalytic system.The catalytic system showed a broad tolerance for different substituents on the aromatic rings or aryl,alkyl-substituted alkynes. 展开更多
关键词 Electron-deficient rhodium C—H activation ANNULATION BENZAMIDE ALKYNE
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