Glissonian approach combined with major hepatic vein first for laparoscopic anatomic hepatectomy

Background: Laparoscopic anatomic hepatectomy remains challenging because of the complex interior structures of the liver. Our novel strategy includes the Glissonian approach and the major hepatic vein first, which serves to define the external and internal landmarks for laparoscopic anatomic hepatectomy.Methods: Eleven cases underwent laparoscopic anatomic hepatectomy, including three right hepatectomies, three left hepatectomies, three right posterior hepatectomies, and two mesohepatectomies. The Glissonian approach was used to transect the hepatic pedicles as external demarcation. The major hepatic vein near the hepatic portal was exposed and served as the internal landmark for parenchymal transection. The liver parenchyma below and above the major hepatic vein was transected along the major hepatic vein. Fifty-nine subjects were used to compare the distance between the major hepatic vein and secondary Glisson pedicles among different liver diseases.Results: The average operative time was 327 min with an estimated blood loss of 554.55 m L. Only two patients received three units of packed red blood cells. The others recovered normally and were discharged on postoperative day 7. The distance between right posterior Glissonian pedicle and right hepatic vein was shorter in the patients with cirrhosis than that without cirrhosis, and this distance was even shorter in patients with hepatocellular carcinoma.Conclusion: The Glissonian approach with the major hepatic vein first is easy and feasible for laparoscopic anatomic hepatectomy, especially in patients with hepatocellular carcinoma and cirrhosis.

Dense copper azide synthesized by in-situ reaction of assembled nanoporous copper microspheres and its initiation performance

Copper azide with high density was successfully synthesized by in-situ reaction of nanoporous copper(NPC)precursor with HN_(3) gaseous.NPC with pore size of about 529 nm has been prepared by electroless plating using polystyrene(PS)as templates.The copper shells thickness of NPC was controlled by adjusting the PS loading amount.The effects of copper shell on the morphology,structure and density of copper azide were investigated.The conversion increased from 87.12%to 95.31%when copper shell thickness decrease from 100 to 50 nm.Meanwhile,the density of copper azide prepared by 529 nm NPC for 24 h was up to 2.38 g/cm^(3).The hollow structure of this NPC was filled by swelling of copper azide which guaranteed enough filling volume for keeping the same shape as well as improving the charge density.Moreover,HNS-IV explosive was successfully initiated by copper azide with minimum charge thickness of 0.55 mm,showing that copper azide prepared has excellent initiation performance,which has more advantages in the application of miniaturized explosive systems.

Life-threatening hemorrhage after liver radiofrequency ablation successfully controlled by transarterial embolization

A 59-year-old man underwent liver radiofrequency ablation under laparotomy for recurrent hepatic carcinoma located in the caudate lobe,however,near-fatal bleeding occurred 1 wk after the operation.The intraoperative ultrasound study during laparotomy revealed left hepatic artery pseudoaneurysm.Suture and packing with ribbon gauze was used to obtain hemostasis.A secondary hemorrhage followed 11 h later and hepatic angiography was performed immediately.Bleeding from the pseudoaneurysm in a branch of the left hepatic artery was found and the artery branch was embolized with coils.Other than slight bile leakage,post-embolization continued satisfactorily.Bleeding did not reoccur.The follow up visit 1 mo later found the pseudoaneurysm disappearing and no tumor recurrence.

Genome-wide methylation profiling of early colorectal cancer using an Illumina Infinium Methylation EPIC BeadChip

BACKGROUND DNA methylation is a part of epigenetic modification,that is closely related to the growth and development of colorectal cancer(CRC).Specific methylated genes and methylated diagnostic models of tumors have become current research focuses.The methylation status of circulating DNA in plasma might serve as a potential biomarker for CRC.AIM To investigate genome-wide methylation pattern in early CRC using the Illumina Infinium Human Methylation 850K BeadChip.METHODS The 850K Methylation BeadChip was used to analyze the genome-wide methylation status of early CRC patients(n=5)and colorectal adenoma patients(n=5).Gene ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathways enrichment analyses were performed on the selected differentially methylated sites to further discover candidate methylation biomarkers in plasma.RESULTS A total of 1865 methylated CpG sites with significant differences were detected,including 676 hypermethylated sites and 1189 hypomethylated sites.The distribution of these sites covered from the 1^(st) to 22^(nd) chromosomes and are mainly distributed on the gene body and gene promoter region.GO and KEGG enrichment analysis showed that the functions of these genes were related to biological regulation,molecular binding,transcription factor activity and signal transduction pathway.CONCLUSION The study demonstrated that the Illumina Infinium Human Methylation 850K BeadChip can be used to investigate genome-wide methylation status of plasma DNA in early CRC and colorectal adenoma patients.

Effects of Conjugated Systems on UV-Visible Light-sensitive D-π-A Type Sulfonium Salt Photoacid Generators

A series of D-π-A type sulfonium salt photoacid generators with different π-conjugated structures, such as triphenyl, phenylstilbene, styryl-biphenyl, and stilbene, were designed to determine the effect of molecular structures on the photochemical and photophysical properties. The mechanisms of photochemical generation of H＋ were studied by UV-Vis spectroscopy, theoretical calculations, and fluorescence spectroscopy. It is found that the frontier orbits determine the absorption, the molar extinction coefficients, and the quantum yields of photoacid generation. Triphenyl systems connected with sulfonium are beneficial to increase the quantum yields of acid generation. The photoreactivity of four sulfonium salts was further evaluated through the polymerizations of various epoxide monomers at different irradiation wavelengths （365- 425 nm） by using the real-time infrared spectroscopy with light-emitting diodes. The high quantum yields for acid generation （ФH＋ = -0.32 to 0.58） and the high molar extinction coefficients （ε = -23500 L.mol-1.cm-1 to 31000 L.mol-1.cm-1） of the sulfonium salts lead to high conversion rates （over 50%-80%）. Hence, these photoinitiators exhibit potential for the photocuring applications.