Background:There is no consensus regarding the influence of prophylactic no.10 lymph node(LN)dissection in patients with advanced gastric cancer(AGC).We aimed to evaluate whether patients with AGC could benefit from n...Background:There is no consensus regarding the influence of prophylactic no.10 lymph node(LN)dissection in patients with advanced gastric cancer(AGC).We aimed to evaluate whether patients with AGC could benefit from no.10 LN dissection and to explore the clinicopathological indicators of no.10 LN metastasis.Methods:We analyzed the data of 218 patients with AGC who underwent standard D2 lymphadenectomy(SD2;n=108)or modified D2 lymphadenectomy(MD2;n=110)between January 2017 and January 2021.In addition,we examined factors influencing no.10 LN metastasis in the SD2 group.Results:Differentiation,tumor location,and no.4 positive LNs were significantly correlated with no.10 LN metastasis(P<0.05).Borrmann classification,differentiation,depth of invasion,LN metastasis(N),and tumor size were found to correlate with survival in univariate analyses.Age,sex,extent of gastrectomy,tumor location,and extent of lymphadenectomy were not associated with survival(P>0.05).The median survival times were 72.23 and 68.56months for the SD2 andMD2 groups,respectively(P=0.635).Postoperative major morbidity and mortality rates were 37.96%and 3.70%in the SD2 group,and 23.64%and 1.82%in the MD2 group,respectively.Conclusions:Based on our findings,prophylactic no.10 lymphadenectomy may be recommended in patients with AGC who exhibit positive no.4 LN status,poor differentiation,and tumors located on the greater curvature.展开更多
Due to the unique physical and chemical merits including excellent electrical conductivity,superior chemical stability,and tunable carbon framework,two-dimensional(2 D)porous carbon nanosheets have drawn increasing re...Due to the unique physical and chemical merits including excellent electrical conductivity,superior chemical stability,and tunable carbon framework,two-dimensional(2 D)porous carbon nanosheets have drawn increasing research interest and demonstrated promising potentials in various applications.However,regulating the nanostructure of 2 D porous carbon nanosheets by facile and efficient strategies remains a great challenge.Herein,we develop a new strategy to construct Fe,N-codoped hierarchical porous carbon nanosheets(Fe-N-HPCNS)by using 2 D Fe-Zn layered double hydroxides(Fe-Zn-LDH)as multifunctional templates.Fe-Zn-LDH could functionalize not only as 2 D structure directing agents but also as ternary hierarchical porogens for micro-,meso-and macropores and in situ Fe dopants.This multifunctional templating strategy toward 2 D porous carbon nanosheets can improve the utilization of templates and shows great advantages against conventional procedures that additional porogens and/or dopants are often needed.展开更多
基金supported by the Department of Gastrointestinal Surgery,Xuzhou Central Hospital,Xuzhou,China
文摘Background:There is no consensus regarding the influence of prophylactic no.10 lymph node(LN)dissection in patients with advanced gastric cancer(AGC).We aimed to evaluate whether patients with AGC could benefit from no.10 LN dissection and to explore the clinicopathological indicators of no.10 LN metastasis.Methods:We analyzed the data of 218 patients with AGC who underwent standard D2 lymphadenectomy(SD2;n=108)or modified D2 lymphadenectomy(MD2;n=110)between January 2017 and January 2021.In addition,we examined factors influencing no.10 LN metastasis in the SD2 group.Results:Differentiation,tumor location,and no.4 positive LNs were significantly correlated with no.10 LN metastasis(P<0.05).Borrmann classification,differentiation,depth of invasion,LN metastasis(N),and tumor size were found to correlate with survival in univariate analyses.Age,sex,extent of gastrectomy,tumor location,and extent of lymphadenectomy were not associated with survival(P>0.05).The median survival times were 72.23 and 68.56months for the SD2 andMD2 groups,respectively(P=0.635).Postoperative major morbidity and mortality rates were 37.96%and 3.70%in the SD2 group,and 23.64%and 1.82%in the MD2 group,respectively.Conclusions:Based on our findings,prophylactic no.10 lymphadenectomy may be recommended in patients with AGC who exhibit positive no.4 LN status,poor differentiation,and tumors located on the greater curvature.
基金financially supported by the National Natural Science Foundation of China(Nos.51925308 and 51872336)the Leading Scientific,Technical and Innovation Talents of Guangdong Special Support Program(No.2017TX04C248)+3 种基金the Pearl River Talent Plan of Guangdong(No.2017GC010612)Natural Science Foundation of Guangdong(No.2021A1515011617)the Fundamental Research Funds for the Central Universities(No.20lgzd18)the Science and Technology Program of Guangzhou(Nos.202102021111 and 202002020041)。
文摘Due to the unique physical and chemical merits including excellent electrical conductivity,superior chemical stability,and tunable carbon framework,two-dimensional(2 D)porous carbon nanosheets have drawn increasing research interest and demonstrated promising potentials in various applications.However,regulating the nanostructure of 2 D porous carbon nanosheets by facile and efficient strategies remains a great challenge.Herein,we develop a new strategy to construct Fe,N-codoped hierarchical porous carbon nanosheets(Fe-N-HPCNS)by using 2 D Fe-Zn layered double hydroxides(Fe-Zn-LDH)as multifunctional templates.Fe-Zn-LDH could functionalize not only as 2 D structure directing agents but also as ternary hierarchical porogens for micro-,meso-and macropores and in situ Fe dopants.This multifunctional templating strategy toward 2 D porous carbon nanosheets can improve the utilization of templates and shows great advantages against conventional procedures that additional porogens and/or dopants are often needed.
