目的:探究3D全腹腔镜根治术治疗Ⅲ期远端胃癌的疗效及安全性。方法:收集2021年2月至2024年2月收治的Ⅲ期远端胃癌患者的临床资料。将接受腹腔镜辅助远端胃癌根治术的患者纳入对照组,将接受3D全腹腔镜辅助远端胃癌根治术的患者纳入观察组...目的:探究3D全腹腔镜根治术治疗Ⅲ期远端胃癌的疗效及安全性。方法:收集2021年2月至2024年2月收治的Ⅲ期远端胃癌患者的临床资料。将接受腹腔镜辅助远端胃癌根治术的患者纳入对照组,将接受3D全腹腔镜辅助远端胃癌根治术的患者纳入观察组,采用倾向性评分匹配法以最邻近匹配原则1∶1进行匹配,最终两组各纳入60例。比较两组手术情况、术后恢复情况、术后疼痛程度评分(VAS)、围手术期应激反应指标、胃肠功能指标及并发症发生情况。结果:与对照组相比,观察组切口长度、消化道重建时间、术后首次排气时间、自主下床活动时间及住院时间更短,使用镇痛药物患者比例更低,切口美容评分更高,术后并发症发生率更低(P<0.05)。术后8、24、48、72 h两组VAS均低于治疗前,且观察组低于对照组(P<0.05)。观察组术后24、72 h ACTH、PGE2升高幅度和MTL、GAS降低幅度均小于对照组(P<0.05)。结论:3D全腹腔镜根治术治疗Ⅲ期远端胃癌创伤小、术后并发症少,有利于胃肠功能早期恢复,且具有切口美观的优势。展开更多
This paper, an addendum to “Dialectical Thermodynamics’ solution to the conceptual imbroglio that is the reversible path”, this journal, 10, 775-799, was written in response to the requests of several readers to pr...This paper, an addendum to “Dialectical Thermodynamics’ solution to the conceptual imbroglio that is the reversible path”, this journal, 10, 775-799, was written in response to the requests of several readers to provide further evidence of the said “imbroglio”. The evidence here presented relates to the incompatibility existing between the total-entropy and the Gibbs energy prescriptions for the reversible path. The previously published proof of the negentropic nature of the transformation of heat into work is here included to validate out conclusions about the Gibbs energy perspective.展开更多
文摘目的:探究3D全腹腔镜根治术治疗Ⅲ期远端胃癌的疗效及安全性。方法:收集2021年2月至2024年2月收治的Ⅲ期远端胃癌患者的临床资料。将接受腹腔镜辅助远端胃癌根治术的患者纳入对照组,将接受3D全腹腔镜辅助远端胃癌根治术的患者纳入观察组,采用倾向性评分匹配法以最邻近匹配原则1∶1进行匹配,最终两组各纳入60例。比较两组手术情况、术后恢复情况、术后疼痛程度评分(VAS)、围手术期应激反应指标、胃肠功能指标及并发症发生情况。结果:与对照组相比,观察组切口长度、消化道重建时间、术后首次排气时间、自主下床活动时间及住院时间更短,使用镇痛药物患者比例更低,切口美容评分更高,术后并发症发生率更低(P<0.05)。术后8、24、48、72 h两组VAS均低于治疗前,且观察组低于对照组(P<0.05)。观察组术后24、72 h ACTH、PGE2升高幅度和MTL、GAS降低幅度均小于对照组(P<0.05)。结论:3D全腹腔镜根治术治疗Ⅲ期远端胃癌创伤小、术后并发症少,有利于胃肠功能早期恢复,且具有切口美观的优势。
文摘This paper, an addendum to “Dialectical Thermodynamics’ solution to the conceptual imbroglio that is the reversible path”, this journal, 10, 775-799, was written in response to the requests of several readers to provide further evidence of the said “imbroglio”. The evidence here presented relates to the incompatibility existing between the total-entropy and the Gibbs energy prescriptions for the reversible path. The previously published proof of the negentropic nature of the transformation of heat into work is here included to validate out conclusions about the Gibbs energy perspective.
