Recent advances in organ transplantation,regenerative medicine,and drug discovery have emphasized the critical importance of effective preservation techniques for organs.Despite these advances,current preservation tec...Recent advances in organ transplantation,regenerative medicine,and drug discovery have emphasized the critical importance of effective preservation techniques for organs.Despite these advances,current preservation techniques have significant limitations in maintaining the viability and functional efficacy of organs over the long term.As a result,there is a pressing need to develop reliable and efficient preservation strategies for organs.Currently,the clinical standard for organ preservation involves the use of static cold storage and organ machine perfusion,but these methods can only preserve organs for a couple of days or even a few hours.Notably,the development of cryobiology has yielded promising alternatives.In this review,we aim to provide a comprehensive overview of the progression of organ preservation methods,while emphasizing the limitations of traditional approaches.Moreover,we evaluate advanced preservation techniques for organs,including kidneys,livers,hearts,lungs,and intestines.Furthermore,we share a progress perspective on the future of organ preservation,with the ultimate goal of achieving viable long-term preservation to address the pressing issue of organ shortage.展开更多
Fertility preservation and pregnancymanagement are critical considerations for patients undergoing organtransplantation.Innovations in assisted reproductive technologies,hormonalmodulation,and personalized medicine ha...Fertility preservation and pregnancymanagement are critical considerations for patients undergoing organtransplantation.Innovations in assisted reproductive technologies,hormonalmodulation,and personalized medicine have expanded options for these patients,who face unique challenges due to immunosuppressive therapy and organ functionconcerns.This mini-review explores advancements in cryopreservationtechniques,pre-conception counseling,and multidisciplinary strategies forsafe pregnancies post-transplantation.Emphasis is placed on balancing maternalhealth,graft function,and fetal outcomes.The integration of reproductive andtransplant medicine is paving the way for improved quality of life andreproductive autonomy for this patient population.展开更多
Accurately evaluating the quality and scale of deep oil and gas reservoirs is the key to effectively exploring and developing deep oil and gas resources.Changes in temperature and pressure can cause significant variat...Accurately evaluating the quality and scale of deep oil and gas reservoirs is the key to effectively exploring and developing deep oil and gas resources.Changes in temperature and pressure can cause significant variations in key reservoir quality para meters,such as porosity,permeability,and satu ration,leading to distortions in oil and gas reserve assessments.To addresses the technical bottleneck of the existing pressu re-preserved coring systems,which has a pressure-preserved ca pacity not exceed 70 MPa due to the limitations of small coring space,a complex coring environment,significant disturbance during the coring process,and the difficulty in controlling coring operations,a self-sealing control principle and method for pressure-preserved coring was proposed.The sealing structural parameters of the pressure-preserved controller(PPC) under high temperature(150℃) were optimized through experiments and numerical simulations,the sealing failure mechanism was thoroughly revealed,and the pressure-preserved capacity of the PPC under high temperature was enhanced from 100 to 140 MPa.In addition,to achieve the temperature preservation of the core in the deep oil and gas environment,a temperature preservation system combining active and passive temperature preservation was designed and integrated into the deep oil and gas in-situ temperature pressure preserved(ITPP) coring system.Finally,the coring function and temperature pressure preserved capacity of the ITPP coring system were verified through field and laboratory tests.The results show that the developed ITPP coring system can successfully achieve the temperature pressure preserved function,and can sample oil and gas-bearing core samples with a diameter of 50 mm and a maximum length of 1000 mm from wells up to 5000 m.This study addresses the urgent need for reliable and effective pressure-preservation in deep oil and gas exploration.展开更多
Occurrence and abundance of molecular hydrogen in natural geologic reservoirs are enigmatic,due to its various sources,diverse migration pathways and complicated biological and chemical reactions.Natural gas samples c...Occurrence and abundance of molecular hydrogen in natural geologic reservoirs are enigmatic,due to its various sources,diverse migration pathways and complicated biological and chemical reactions.Natural gas samples containing hydrogen from producing wells in several sedimentary basins in China were collected in this study,and gas abundances and isotopic compositions of these gases were compared with those in global petroliferous basins and deep intrusive rocks.Several geochemical indicators were suggested for identifying sources,migration and accumulation mechanisms of hydrogen in the subsurface environment.Hydrogen contents in natural gas deposits have contributions from various sources with the following high-to-low order:microbial degradation>serpentinization>deep mantle volatile release>radiation-induced water decomposition>thermal cracking of organic matter.A hydrogen-rich reservoir in Kansas,USA,is specifically analyzed to determine its formation mechanism.This study suggests that future exploration of geological hydrogen resources may focus on the igneous rock bodies with overlying dense sedimentary rocks in the continental rift systems.展开更多
In addition to the organic matter type,abundance,thermal maturity,and shale reservoir space,the preservation conditions of source rocks play a key factor in affecting the quantity and quality of retained hydrocarbons ...In addition to the organic matter type,abundance,thermal maturity,and shale reservoir space,the preservation conditions of source rocks play a key factor in affecting the quantity and quality of retained hydrocarbons in source rocks of lacustrine shale,yet this aspect has received little attention.This paper,based on the case analysis,explores how preservation conditions influence the enrichment of mobile hydrocarbons in shale oil.Research showns that good preservation conditions play three key roles.(1)Ensure the retention of sufficient light hydrocarbons(C_(1)–C_(13)),medium hydrocarbons(C_(14)–C_(25))and small molecular aromatics(including 1–2 benzene rings)in the formation,which enhances the fluidity and flow of shale oil;(2)Maintain a high energy field(abnormally high pressure),thus facilitating the maximum outflow of shale oil;(3)Ensure that the retained hydrocarbons have the miscible flow condition of multi-component hydrocarbons(light hydrocarbons,medium hydrocarbons,heavy hydrocarbons,and heteroatomic compounds),so that the heavy hydrocarbons(C_(25+))and heavy components(non-hydrocarbons and asphaltenes)have improved fluidity and maximum flow capacity.In conclusion,in addition to the advantages of organic matter type,abundance,thermal maturity,and reservoir space,good preservation conditions of shale layers are essential for the formation of economically viable shale oil reservoirs,which should be incorporated into the evaluation criteria of shale oil-rich areas/segments and considered a necessary factor when selecting favorable exploration targets.展开更多
To alleviate the quality deterioration and extend the shelf life of crucian carp fillets,a bio-based active composite film integrating eugenol(EG)-loaded mesoporous silica nanoparticles(MSNs)modified with caffeic acid...To alleviate the quality deterioration and extend the shelf life of crucian carp fillets,a bio-based active composite film integrating eugenol(EG)-loaded mesoporous silica nanoparticles(MSNs)modified with caffeic acid(CA)within the zein matrix(EG/CA-MSN/Zein)was developed.This study compared the effects of EG/CA-MSN/Zein,polyethylene(PE),and zein films on the quality of fish fillets during refrigerated storage.The results showed that the EG/CA-MSN/Zein film significantly retarded the increase in pH and microbial growth.Moreover,the film had higher water-holding capacity(WHC),better texture,and color stability,as indicated by low-field nuclear magnetic resonance(LF-NMR),magnetic resonance imaging(MRI),and sensory evaluation.The EG/CA-MSN/Zein composite film extended the shelf life of crucian carp fillets by 3-4 days,highlighting its potential as an environmentally friendly and efficient packaging material for aquatic products.展开更多
In this study,composite films consisting of polylactic acid(PLA),ethyl cellulose(EC),and zein were prepared by solution casting method,and their performance and application in chilled fresh meat preservation were inve...In this study,composite films consisting of polylactic acid(PLA),ethyl cellulose(EC),and zein were prepared by solution casting method,and their performance and application in chilled fresh meat preservation were investigated.The results showed that the three materials had satisfactory compatibility in the composite film.Addition of EC and zein effectively improved the mechanical properties,thermodynamic properties,surface hydrophilicity,oxygen permeability,and degradation properties of PLA films.When the ratio of PLA to EC was 3:7,the tensile strength and elongation at break reached maximum values of 16.6 MPa and 30.5%,respectively.Moreover,under different conditions,the composite film exhibited better degradability than the PLA film.The composite film with a 3:7 ratio of PLA to EC had the best performance,with a degradation rate of 21.75%after 84 days.Chilled fresh meat wrapped with the composite film showed significantly improved antioxidant,antibacterial,and water-holding properties.展开更多
[Objective] This study aimed to investigate the effects of different preservative treatments on physiological metabolism and preservation of sweet cherry. [Method] Sweet cherry (Prunus avium var. Summit) was soaked ...[Objective] This study aimed to investigate the effects of different preservative treatments on physiological metabolism and preservation of sweet cherry. [Method] Sweet cherry (Prunus avium var. Summit) was soaked into benziothiazolinone (1 000 ppm), lysozyme (500 ppm), lysozyme (500 ppm) + NPS polysaccharide (5 000 ppm) and water for 5 min, respectively. Non-treated sweet cherry was set as control. All the sweet cherries were then put into 3 mm thick PE bags and preserved at (-0.5±0.5) ℃. [Result] The results showed that the malate dehydrogenase (MDH) activity of benziothiazolinone treatment researched a significant peak on the 14 th d, while the MDH activity of Lysozyme (500 ppm), Lysozyme (500 ppm) + NPS polysaccharide (5 000 ppm) and water treatments began to increase on the 20 th d; the polyphenol oxidase (PPO) activity in various treatments showed a decreasing trend during the experiment, which researched a significant peak on the 14 th d, while that in water treatment was decreased consistently; on the 21 st d, the PPO activity in each treatment increased slowly; the titratable acid (TA) content in preservative treatments was higher than that in both water treatment and control; the soluble solid (SSC) content showed no significant difference between various treatments and between experimental treatment and control; on the 40 th d, the healthy fruit rate in preservative treatments was significantly higher than that in water treatment and control. [Conclusion] Benziothiazolinone, lysozyme and other preservatives show good effects on preservation of sweet cherry; lysozyme treatment can decrease the activity of malate dehydrogenase, maintain the relatively high content of organic acid and significantly improve the healthy fruit rate within a certain period of time.展开更多
Mold spoilage and nutrition enrichment are major concerns of Chinese steamed bread,and using functional lactic acid bacteria as starter to play the role of in-situ preservation and nutritional fortification was a prom...Mold spoilage and nutrition enrichment are major concerns of Chinese steamed bread,and using functional lactic acid bacteria as starter to play the role of in-situ preservation and nutritional fortification was a promising alternative.Hence,Lactiplantibacillus plantarum P10 capable of inhibiting spoilage microorganisms and producing γ-aminobutyric acid(GABA)(380 mg/L)was screened from Chinese pickle.Metabolomics analysis showed that P10 produced key antimicrobial metabolites mainly including ten organic acids,aldehyde,alkaloid.Besides,P10 might exhibit health beneficial effects such as degrading cholesterol,lowering blood glucose and reducing uric acid due to the production of deoxycholic acid and Ile-Pro-Ile,and the degradation of purine.Finally,the promising application potential of P10 was evidenced in steamed bread with extended shelf life,excellent anti-aging effect,and 24.5-fold enrichment of GABA.Conclusively,this investigation could provide scientific basis for the application of P10 as a functional starter in steamed bread.展开更多
Background Organic acids(OA)and maternal nutritional strategies have been demonstrated to promote piglet health and development.The objective of this study was to investigate the effects of incorporating OA-preserved ...Background Organic acids(OA)and maternal nutritional strategies have been demonstrated to promote piglet health and development.The objective of this study was to investigate the effects of incorporating OA-preserved cereal grains into sow diets during late gestation and lactation,aiming to reduce the metabolic demands of lactation while optimising offspring development and growth until slaughter.The experiment compared OA-preserved wheat and barley to conventionally dried grains,focusing on sow and offspring performance,as well as their faecal microbiota during lactation.Forty sows were blocked based on parity,body weight and back fat thickness on d 100 of gestation and assigned to one of two diets:a dried grain lactation diet and a preserved grain lactation diet.Sow faecal samples were collected at farrowing for the coefficient of apparent total tract digestibility(CATTD)of nutrients and microbial analysis.Offspring faecal samples were collected on d 10 postpartum and at weaning(d 26 postpartum)for microbial analysis.Results Sow body weight,back fat changes,gestation and lactation length,total piglets born,wean-to-oestrus interval,and lactation efficiency were unaffected by sow diet(P>0.05).However,sows offered the preserved grain diet exhibited improved CATTD of dry matter,nitrogen,gross energy,and neutral detergent fibre(P<0.05).While no maternal effect was observed on offspring growth during lactation(P>0.05),pigs from sows offered the preserved grain diet showed improved growth and feed efficiency from weaning until slaughter(d 168)compared to those from sows offered the dried grain diet(P<0.05).The preserved grain diet also reduced the abundance of Proteobacteria in sow faeces at farrowing and in their offspring on d 10 postpartum,and improved piglet faecal scores throughout lactation(P=0.05).At weaning,piglets from sows offered the preserved grain diet exhibited an increased abundance of Lactobacillus and reduced abundance of Alistipes in their faeces(P<0.05).Conclusion OA-preserved grains enhanced the CATTD of nutrients in sows,promoted healthier piglet faecal scores during lactation,and improved offspring growth performance post-weaning,potentially linked to beneficial changes observed in the faecal microbiota of sows and their offspring during lactation.展开更多
Gabon,located on the west coast of Central Africa,is one of the most forested countries.This small but richly biodiverse country is covered by rainforests,which make up approximately 85%of its land area.These forests ...Gabon,located on the west coast of Central Africa,is one of the most forested countries.This small but richly biodiverse country is covered by rainforests,which make up approximately 85%of its land area.These forests are home to a wide variety of wildlife,including elephants and numerous bird species,making Gabon a crucial area for conservation efforts.展开更多
The thioacetamide derivative(TD)-composite preservation system(TDCPS)exhibits superior preservation effects on natural rubber latex(NRL)and significantly enhances its vulcanization efficiency and mechanical properties...The thioacetamide derivative(TD)-composite preservation system(TDCPS)exhibits superior preservation effects on natural rubber latex(NRL)and significantly enhances its vulcanization efficiency and mechanical properties.This study primarily investigated the principal chemical groups and mechanism of action of TDCPS in promoting NRL vulcanization through a comparative analysis.The results indicated that the key functional groups(thioamide and pyridine)in TDCPS synergistically accelerated crosslinking,reducing the vulcanization time by 41.18%compared to the high-ammonia(HA)preservation system.At an optimal TDCPS dosage of 5 mmol·L^(−1),vulcanized films achieved a tensile strength of 34.18 MPa,with a sulfur content of 1.5 phr further improving the strength by 42.26%.TD outperformed the conventional accelerators 2-imidazolidinethione(ETU)and 3-hydroxypyridine(3-Hp)in promoting the crosslinking density and mechanical performance while eliminating ammonia-related environmental risks.This eco-friendly system demonstrates the industrial potential for sustainable rubber production.展开更多
The issue of privacy leakage in distributed consensus has garnered significant attention over the years,but existing studies often overlook the challenges posed by limited communication in algorithm design.This paper ...The issue of privacy leakage in distributed consensus has garnered significant attention over the years,but existing studies often overlook the challenges posed by limited communication in algorithm design.This paper addresses the issue of privacy preservation in distributed weighted average consensus under limited communication scenarios.Specifically targeting directed and unbalanced topologies,we propose a privacy-preserving implementation protocol that incorporates the Paillier homomorphic encryption scheme.The protocol encrypts only the 1-bit quantized messages exchanged between agents,thus ensuring both the correctness of the consensus result and the confidentiality of each agent's initial state.To demonstrate the practicality of the proposed method,we carry out numerical simulations that illustrate its ability to reach consensus effectively while ensuring the protection of private information.展开更多
Blepharoplasty is a frequently performed aesthetic surgery today aimed at enhancing eyelid appearance and correcting age-related changes.The traditional method of subtraction blepharoplasty,which involved removing fat...Blepharoplasty is a frequently performed aesthetic surgery today aimed at enhancing eyelid appearance and correcting age-related changes.The traditional method of subtraction blepharoplasty,which involved removing fat and excess skin,is now considered outdated.This letter explores Gorgy et al's commentary on Miotti et al's study,highlighting a shift in upper eyelid blepharoplasty towards a more conservative,volume-preserving approach.The study systematically reviewed 10 publications,including three retrospective studies,five comparative studies,and two clinical trials.It emphasizes the trend towards preserving the patient's natural anatomy and focusing on enhancement rather than alteration.However,the study's limitations,such as the lack of long-term comparative re-search,a relatively small sample size,and a single-center design,indicate that further research with extended follow-up is necessary to validate the safety and effectiveness of these techniques.The focus is increasingly on preserving and augmenting volume in upper blepharoplasty rather than removing tissue.展开更多
Porous organic polymers are remarkably versatile materials with porous and carefully designed structures.They complement traditional preservation methods by overcoming their limitations and significantly extending the...Porous organic polymers are remarkably versatile materials with porous and carefully designed structures.They complement traditional preservation methods by overcoming their limitations and significantly extending the shelf life of preserved products.Notably,porous hollow nanospheres(PHNs),with their unique hollow structures capable of adsorbing and releasing organic molecules,have garnered considerable attention in food preservation.However,most PHNs are challenging to synthesize in one step,and PHNs are usually in powder form,which makes it challenging to apply them directly.In this study,we successfully synthesized PHNs in one step using the Friedel–Crafts reaction.The PHNs,adsorbed with hexanal molecules,were then embedded in polymer fibers to create composites via electrospinning.The preservation effect of the composite nanofiber membranes was investigated by determining the changes in appearance,weight,peel hardness,and pulp sugar content of three fruits,namely strawberries,bananas,and kumquats,after several days of storage.In comparison to pure poly(ε-caprolactone)fiber membranes,PHNs containing hexanal molecules slowed down the oxidative deterioration process and enhanced the quality and flavor of preserved fruits.This research presents innovative approaches for using porous organic polymers in food preservation and serves as a valuable reference for the development of future food packaging materials.展开更多
BACKGROUND Low rectal cancer poses a significant surgical challenge because of its close proximity to the anal sphincter,often requiring radical resection with permanent colostomy to achieve oncological safety.Revisit...BACKGROUND Low rectal cancer poses a significant surgical challenge because of its close proximity to the anal sphincter,often requiring radical resection with permanent colostomy to achieve oncological safety.Revisited rectal anatomy,advances in surgical techniques and neoadjuvant therapies have enabled the possibility of sphincter-preserving procedures,however,it is uniformly not applicable.Selecting appropriate candidates for sphincter preservation is crucial,as an illadvised approach may compromise oncological outcome or lead to poor functional outcomes.Currently there is no consensus-which clinical,anatomical,or molecular factors most accurately predict the feasibility of sphincter-preserving surgery(SPS)in this subset of patients.By identifying these predictors,the study seeks to support improved patient selection,enhance surgical planning,and ultimately contribute to better functional and oncological outcomes in patients with low rectal cancer.AIM To identify predictive factors that determine the feasibility of SPS in patients with low rectal cancer.METHODS A comprehensive literature search was conducted using PubMed/MEDLINE databases.The search focused on various factors influencing the feasibility of SPS in low rectal cancer.These included patient-related factors,anatomical considerations,findings from different imaging modalities,advancements in diagnostic tools and techniques,and the role of neoadjuvant chemoradiotherapy.The relevance of each factor in predicting the potential for sphincter preservation was critically analyzed and presented based on the current evidence RESULTS Multiple studies have identified a range of predictive factors influencing the feasibility of SPS in low rectal cancer.Patient-related factors include age,sex,preoperative continence status,comorbidities,and body mass index.Anatomical considerations,such as tumor distance from the anal verge,involvement of the external anal sphincter,and levator ani muscles,also play a critical role.Additionally,a favourable response to neoadjuvant chemoradiotherapy has been associated with improved suitability for sphincter preservation.Several biomarkers,such as inflammatory markers like interleukins and C-reactive protein,as well as tumor markers like carcinoembryonic antigen,are important.Molecular markers,including BRAF and KRAS mutations and microsatellite instability status,have been linked to prognosis and may further guide decision-making regarding sphincter-preserving approaches.Artificial intelligence(AI)can further add in to select an ideal patient for sphincter preservation.CONCLUSION SPS is feasible in low rectal cancer and depends on patient factors,tumor anatomy and biology,preoperative treatment response,and biomarkers.In addition,tools and technology including AI can further help in selecting an ideal patient for long term optimal outcome.展开更多
n recent years,China has placed increasing emphasis on the protection of cultural heritage.In July 2024,Beijing’s Central Axis was o!cially inscribed on the World Heritage List,and on 4 December 2024,the Spring Festi...n recent years,China has placed increasing emphasis on the protection of cultural heritage.In July 2024,Beijing’s Central Axis was o!cially inscribed on the World Heritage List,and on 4 December 2024,the Spring Festival was added to the UNESCO Intangible Cultural Heritage list.Public awareness of the importance of preserving historical sites and promoting the inheritance and celebration of Chinese civilisation has also grown significantly.展开更多
In order to ensure food safety,controlling foodborne pathogen contamination is of utmost importance.Growing apprehensions regarding the safety of synthetic antimicrobials,due to their adverse health effects,have promp...In order to ensure food safety,controlling foodborne pathogen contamination is of utmost importance.Growing apprehensions regarding the safety of synthetic antimicrobials,due to their adverse health effects,have prompted a search for alternative options.Plant natural products(PNPs)with antimicrobial activity are being explored as a viable alternative.Among the various antimicrobial natural products studied,plant essential oils,plant flavonoids,plant polyphenols,plant polysaccharides,and plant antimicrobial peptides have been identified as potential candidates.PNPs demonstrate a diverse array of antimicrobial mechanisms,encompassing cell wall and membrane damage,interference with genetic replication,disruption of energy metabolism,and induction of oxidative stress at the single-cell level,as well as inhibition of biofilm formation and quorum sensing at the population level.Certain PNPs have been harnessed as natural antimicrobial agents for the food preservation.The utilization of encapsulation technology proves to be an effective strategy in protecting PNPs,thereby ensuring good antimicrobial efficacy,enhanced dispersibility,and controlled release within food products.The utilization of nanoemulsions,nanoliposomes,edible packaging,electrospun nanofibers,and microcapsules formed by encapsulation has enriched the ways in which PNPs can be applied in food preservation.Although PNPs have great potential in food preservation,their widespread application in the food industry is currently constrained by factors such as production costs,safety concerns,and legal considerations.Chemical synthesis and biosynthesis pathways offer viable strategies for reducing the cost of producing PNPs,and ongoing efforts to assess safety and improve regulatory frameworks are likely to facilitate the broader adoption of PNPs in food preservation practices.This article provides an overview of the main types of PNPs with antimicrobial activity and their properties,focusing on their mechanisms of action.Additionally,it summarizes the use of PNPs in food preservation and discusses the characteristics and applications of different encapsulation technologies.Lastly,the paper briefly analyzes current limitations and proposes potential future trends for this field.展开更多
Due to the development of cloud computing and machine learning,users can upload their data to the cloud for machine learning model training.However,dishonest clouds may infer user data,resulting in user data leakage.P...Due to the development of cloud computing and machine learning,users can upload their data to the cloud for machine learning model training.However,dishonest clouds may infer user data,resulting in user data leakage.Previous schemes have achieved secure outsourced computing,but they suffer from low computational accuracy,difficult-to-handle heterogeneous distribution of data from multiple sources,and high computational cost,which result in extremely poor user experience and expensive cloud computing costs.To address the above problems,we propose amulti-precision,multi-sourced,andmulti-key outsourcing neural network training scheme.Firstly,we design a multi-precision functional encryption computation based on Euclidean division.Second,we design the outsourcing model training algorithm based on a multi-precision functional encryption with multi-sourced heterogeneity.Finally,we conduct experiments on three datasets.The results indicate that our framework achieves an accuracy improvement of 6%to 30%.Additionally,it offers a memory space optimization of 1.0×2^(24) times compared to the previous best approach.展开更多
Spleen-preserving distal pancreatectomy(SPDP)has gained increasing attention as a safe and effective alternative to distal pancreatectomy with splenectomy,particularly for benign and low-grade malignant lesions of the...Spleen-preserving distal pancreatectomy(SPDP)has gained increasing attention as a safe and effective alternative to distal pancreatectomy with splenectomy,particularly for benign and low-grade malignant lesions of the pancreatic body and tail.This narrative review evaluates the current evidence,technical considerations,and disease-specific indications for SPDP.Literature was reviewed using up to date scientific evidence and most recent national and international guidelines.Studies addressing SPDP outcomes,splenectomy complications,and disease-specific oncologic principles were included.Spleen preservation has been associated with reduced rates of postoperative infections,thromboembolic events,and longterm immunologic compromise,without compromising oncologic outcomes in selected patients.Indications favoring SPDP include pancreatic neuroendocrine tumors,intraductal papillary mucinous neoplasms,and solid pseudopapillary neoplasms.Although current guidelines generally recommend splenectomy for pancreatic ductal adenocarcinoma,emerging data suggest that spleen preservation may be feasible in highly selected cases.Technical approaches—primarily the Kimura and Warshaw techniques—enable safe dissection and splenic vessel management,particularly with the support of minimally invasive platforms.In conclusion,SPDP should be considered in appropriately selected patients to reduce morbidity while preserving long-term immune function.Future randomized studies are warranted to define oncologic safety and refine indications across tumor types.展开更多
基金financially supported by the National Key Research and Development Program of China(2022YFC2100800)the National Natural Science Foundation of China(22478296,22078238,52373117,and U23B20121)+1 种基金the Haihe Laboratory of Sustainable Chemical Transformations(24HHWCSS00005)the Open Funding Project of the National Key Laboratory of Biochemical Engineering。
文摘Recent advances in organ transplantation,regenerative medicine,and drug discovery have emphasized the critical importance of effective preservation techniques for organs.Despite these advances,current preservation techniques have significant limitations in maintaining the viability and functional efficacy of organs over the long term.As a result,there is a pressing need to develop reliable and efficient preservation strategies for organs.Currently,the clinical standard for organ preservation involves the use of static cold storage and organ machine perfusion,but these methods can only preserve organs for a couple of days or even a few hours.Notably,the development of cryobiology has yielded promising alternatives.In this review,we aim to provide a comprehensive overview of the progression of organ preservation methods,while emphasizing the limitations of traditional approaches.Moreover,we evaluate advanced preservation techniques for organs,including kidneys,livers,hearts,lungs,and intestines.Furthermore,we share a progress perspective on the future of organ preservation,with the ultimate goal of achieving viable long-term preservation to address the pressing issue of organ shortage.
基金Supported by European Union-Next Generation EU,through the National Recovery and Resilience Plan of the Republic of Bulgaria,No.BG-RRP-2.004-0008.
文摘Fertility preservation and pregnancymanagement are critical considerations for patients undergoing organtransplantation.Innovations in assisted reproductive technologies,hormonalmodulation,and personalized medicine have expanded options for these patients,who face unique challenges due to immunosuppressive therapy and organ functionconcerns.This mini-review explores advancements in cryopreservationtechniques,pre-conception counseling,and multidisciplinary strategies forsafe pregnancies post-transplantation.Emphasis is placed on balancing maternalhealth,graft function,and fetal outcomes.The integration of reproductive andtransplant medicine is paving the way for improved quality of life andreproductive autonomy for this patient population.
基金supported by the National Natural Science Foundation of China (Grant Nos. 524B2040, 2023M742460, and 52304146)。
文摘Accurately evaluating the quality and scale of deep oil and gas reservoirs is the key to effectively exploring and developing deep oil and gas resources.Changes in temperature and pressure can cause significant variations in key reservoir quality para meters,such as porosity,permeability,and satu ration,leading to distortions in oil and gas reserve assessments.To addresses the technical bottleneck of the existing pressu re-preserved coring systems,which has a pressure-preserved ca pacity not exceed 70 MPa due to the limitations of small coring space,a complex coring environment,significant disturbance during the coring process,and the difficulty in controlling coring operations,a self-sealing control principle and method for pressure-preserved coring was proposed.The sealing structural parameters of the pressure-preserved controller(PPC) under high temperature(150℃) were optimized through experiments and numerical simulations,the sealing failure mechanism was thoroughly revealed,and the pressure-preserved capacity of the PPC under high temperature was enhanced from 100 to 140 MPa.In addition,to achieve the temperature preservation of the core in the deep oil and gas environment,a temperature preservation system combining active and passive temperature preservation was designed and integrated into the deep oil and gas in-situ temperature pressure preserved(ITPP) coring system.Finally,the coring function and temperature pressure preserved capacity of the ITPP coring system were verified through field and laboratory tests.The results show that the developed ITPP coring system can successfully achieve the temperature pressure preserved function,and can sample oil and gas-bearing core samples with a diameter of 50 mm and a maximum length of 1000 mm from wells up to 5000 m.This study addresses the urgent need for reliable and effective pressure-preservation in deep oil and gas exploration.
基金supported by the National Natural Science Foundation of China(Nos.42488101,42141021,42172149,42172168,U2244209)the Tencent Foundation through the XPLORER PRIZE。
文摘Occurrence and abundance of molecular hydrogen in natural geologic reservoirs are enigmatic,due to its various sources,diverse migration pathways and complicated biological and chemical reactions.Natural gas samples containing hydrogen from producing wells in several sedimentary basins in China were collected in this study,and gas abundances and isotopic compositions of these gases were compared with those in global petroliferous basins and deep intrusive rocks.Several geochemical indicators were suggested for identifying sources,migration and accumulation mechanisms of hydrogen in the subsurface environment.Hydrogen contents in natural gas deposits have contributions from various sources with the following high-to-low order:microbial degradation>serpentinization>deep mantle volatile release>radiation-induced water decomposition>thermal cracking of organic matter.A hydrogen-rich reservoir in Kansas,USA,is specifically analyzed to determine its formation mechanism.This study suggests that future exploration of geological hydrogen resources may focus on the igneous rock bodies with overlying dense sedimentary rocks in the continental rift systems.
基金Supported by the National Natural Science Foundation of China(U22B6004)Project of PetroChina Research Institute of Petroleum Exploration and Development(2022yjcq03)Core Technology Key Project of China Petroleum Changqing Oilfield Company(KJZX2023-01).
文摘In addition to the organic matter type,abundance,thermal maturity,and shale reservoir space,the preservation conditions of source rocks play a key factor in affecting the quantity and quality of retained hydrocarbons in source rocks of lacustrine shale,yet this aspect has received little attention.This paper,based on the case analysis,explores how preservation conditions influence the enrichment of mobile hydrocarbons in shale oil.Research showns that good preservation conditions play three key roles.(1)Ensure the retention of sufficient light hydrocarbons(C_(1)–C_(13)),medium hydrocarbons(C_(14)–C_(25))and small molecular aromatics(including 1–2 benzene rings)in the formation,which enhances the fluidity and flow of shale oil;(2)Maintain a high energy field(abnormally high pressure),thus facilitating the maximum outflow of shale oil;(3)Ensure that the retained hydrocarbons have the miscible flow condition of multi-component hydrocarbons(light hydrocarbons,medium hydrocarbons,heavy hydrocarbons,and heteroatomic compounds),so that the heavy hydrocarbons(C_(25+))and heavy components(non-hydrocarbons and asphaltenes)have improved fluidity and maximum flow capacity.In conclusion,in addition to the advantages of organic matter type,abundance,thermal maturity,and reservoir space,good preservation conditions of shale layers are essential for the formation of economically viable shale oil reservoirs,which should be incorporated into the evaluation criteria of shale oil-rich areas/segments and considered a necessary factor when selecting favorable exploration targets.
文摘To alleviate the quality deterioration and extend the shelf life of crucian carp fillets,a bio-based active composite film integrating eugenol(EG)-loaded mesoporous silica nanoparticles(MSNs)modified with caffeic acid(CA)within the zein matrix(EG/CA-MSN/Zein)was developed.This study compared the effects of EG/CA-MSN/Zein,polyethylene(PE),and zein films on the quality of fish fillets during refrigerated storage.The results showed that the EG/CA-MSN/Zein film significantly retarded the increase in pH and microbial growth.Moreover,the film had higher water-holding capacity(WHC),better texture,and color stability,as indicated by low-field nuclear magnetic resonance(LF-NMR),magnetic resonance imaging(MRI),and sensory evaluation.The EG/CA-MSN/Zein composite film extended the shelf life of crucian carp fillets by 3-4 days,highlighting its potential as an environmentally friendly and efficient packaging material for aquatic products.
文摘In this study,composite films consisting of polylactic acid(PLA),ethyl cellulose(EC),and zein were prepared by solution casting method,and their performance and application in chilled fresh meat preservation were investigated.The results showed that the three materials had satisfactory compatibility in the composite film.Addition of EC and zein effectively improved the mechanical properties,thermodynamic properties,surface hydrophilicity,oxygen permeability,and degradation properties of PLA films.When the ratio of PLA to EC was 3:7,the tensile strength and elongation at break reached maximum values of 16.6 MPa and 30.5%,respectively.Moreover,under different conditions,the composite film exhibited better degradability than the PLA film.The composite film with a 3:7 ratio of PLA to EC had the best performance,with a degradation rate of 21.75%after 84 days.Chilled fresh meat wrapped with the composite film showed significantly improved antioxidant,antibacterial,and water-holding properties.
基金Supported by Fund from Technology Bureau of Wuhan City (201120722215-2)~~
文摘[Objective] This study aimed to investigate the effects of different preservative treatments on physiological metabolism and preservation of sweet cherry. [Method] Sweet cherry (Prunus avium var. Summit) was soaked into benziothiazolinone (1 000 ppm), lysozyme (500 ppm), lysozyme (500 ppm) + NPS polysaccharide (5 000 ppm) and water for 5 min, respectively. Non-treated sweet cherry was set as control. All the sweet cherries were then put into 3 mm thick PE bags and preserved at (-0.5±0.5) ℃. [Result] The results showed that the malate dehydrogenase (MDH) activity of benziothiazolinone treatment researched a significant peak on the 14 th d, while the MDH activity of Lysozyme (500 ppm), Lysozyme (500 ppm) + NPS polysaccharide (5 000 ppm) and water treatments began to increase on the 20 th d; the polyphenol oxidase (PPO) activity in various treatments showed a decreasing trend during the experiment, which researched a significant peak on the 14 th d, while that in water treatment was decreased consistently; on the 21 st d, the PPO activity in each treatment increased slowly; the titratable acid (TA) content in preservative treatments was higher than that in both water treatment and control; the soluble solid (SSC) content showed no significant difference between various treatments and between experimental treatment and control; on the 40 th d, the healthy fruit rate in preservative treatments was significantly higher than that in water treatment and control. [Conclusion] Benziothiazolinone, lysozyme and other preservatives show good effects on preservation of sweet cherry; lysozyme treatment can decrease the activity of malate dehydrogenase, maintain the relatively high content of organic acid and significantly improve the healthy fruit rate within a certain period of time.
基金financially supported by Natural Science Foundations of Hebei Province(C2022208003)Youth Top Talent Plan in Hebei Province。
文摘Mold spoilage and nutrition enrichment are major concerns of Chinese steamed bread,and using functional lactic acid bacteria as starter to play the role of in-situ preservation and nutritional fortification was a promising alternative.Hence,Lactiplantibacillus plantarum P10 capable of inhibiting spoilage microorganisms and producing γ-aminobutyric acid(GABA)(380 mg/L)was screened from Chinese pickle.Metabolomics analysis showed that P10 produced key antimicrobial metabolites mainly including ten organic acids,aldehyde,alkaloid.Besides,P10 might exhibit health beneficial effects such as degrading cholesterol,lowering blood glucose and reducing uric acid due to the production of deoxycholic acid and Ile-Pro-Ile,and the degradation of purine.Finally,the promising application potential of P10 was evidenced in steamed bread with extended shelf life,excellent anti-aging effect,and 24.5-fold enrichment of GABA.Conclusively,this investigation could provide scientific basis for the application of P10 as a functional starter in steamed bread.
基金funded by the Science Foundation Ireland(BiOrbic,Dublin,Ireland)and Adesco Nutricines(Dungarvan,Waterford,Ireland)under grant number 16/RC/3889。
文摘Background Organic acids(OA)and maternal nutritional strategies have been demonstrated to promote piglet health and development.The objective of this study was to investigate the effects of incorporating OA-preserved cereal grains into sow diets during late gestation and lactation,aiming to reduce the metabolic demands of lactation while optimising offspring development and growth until slaughter.The experiment compared OA-preserved wheat and barley to conventionally dried grains,focusing on sow and offspring performance,as well as their faecal microbiota during lactation.Forty sows were blocked based on parity,body weight and back fat thickness on d 100 of gestation and assigned to one of two diets:a dried grain lactation diet and a preserved grain lactation diet.Sow faecal samples were collected at farrowing for the coefficient of apparent total tract digestibility(CATTD)of nutrients and microbial analysis.Offspring faecal samples were collected on d 10 postpartum and at weaning(d 26 postpartum)for microbial analysis.Results Sow body weight,back fat changes,gestation and lactation length,total piglets born,wean-to-oestrus interval,and lactation efficiency were unaffected by sow diet(P>0.05).However,sows offered the preserved grain diet exhibited improved CATTD of dry matter,nitrogen,gross energy,and neutral detergent fibre(P<0.05).While no maternal effect was observed on offspring growth during lactation(P>0.05),pigs from sows offered the preserved grain diet showed improved growth and feed efficiency from weaning until slaughter(d 168)compared to those from sows offered the dried grain diet(P<0.05).The preserved grain diet also reduced the abundance of Proteobacteria in sow faeces at farrowing and in their offspring on d 10 postpartum,and improved piglet faecal scores throughout lactation(P=0.05).At weaning,piglets from sows offered the preserved grain diet exhibited an increased abundance of Lactobacillus and reduced abundance of Alistipes in their faeces(P<0.05).Conclusion OA-preserved grains enhanced the CATTD of nutrients in sows,promoted healthier piglet faecal scores during lactation,and improved offspring growth performance post-weaning,potentially linked to beneficial changes observed in the faecal microbiota of sows and their offspring during lactation.
文摘Gabon,located on the west coast of Central Africa,is one of the most forested countries.This small but richly biodiverse country is covered by rainforests,which make up approximately 85%of its land area.These forests are home to a wide variety of wildlife,including elephants and numerous bird species,making Gabon a crucial area for conservation efforts.
基金the Ministry of Agriculture and Rural Affairs of Chinathe Department of Science and Technology of the Hainan Province for their support+2 种基金financially supported by the National Key R&D Program of China(No. 2022YFD2301201)Hainan Province Science and Technology Special Fund (No. ZDYF2024XDNY284)Earmarked Fund for China Agriculture Research System (No.CARS-33-JG1)
文摘The thioacetamide derivative(TD)-composite preservation system(TDCPS)exhibits superior preservation effects on natural rubber latex(NRL)and significantly enhances its vulcanization efficiency and mechanical properties.This study primarily investigated the principal chemical groups and mechanism of action of TDCPS in promoting NRL vulcanization through a comparative analysis.The results indicated that the key functional groups(thioamide and pyridine)in TDCPS synergistically accelerated crosslinking,reducing the vulcanization time by 41.18%compared to the high-ammonia(HA)preservation system.At an optimal TDCPS dosage of 5 mmol·L^(−1),vulcanized films achieved a tensile strength of 34.18 MPa,with a sulfur content of 1.5 phr further improving the strength by 42.26%.TD outperformed the conventional accelerators 2-imidazolidinethione(ETU)and 3-hydroxypyridine(3-Hp)in promoting the crosslinking density and mechanical performance while eliminating ammonia-related environmental risks.This eco-friendly system demonstrates the industrial potential for sustainable rubber production.
基金supported by National Natural Science Foundation of China under Grants 62203045,62433020 and T2293770。
文摘The issue of privacy leakage in distributed consensus has garnered significant attention over the years,but existing studies often overlook the challenges posed by limited communication in algorithm design.This paper addresses the issue of privacy preservation in distributed weighted average consensus under limited communication scenarios.Specifically targeting directed and unbalanced topologies,we propose a privacy-preserving implementation protocol that incorporates the Paillier homomorphic encryption scheme.The protocol encrypts only the 1-bit quantized messages exchanged between agents,thus ensuring both the correctness of the consensus result and the confidentiality of each agent's initial state.To demonstrate the practicality of the proposed method,we carry out numerical simulations that illustrate its ability to reach consensus effectively while ensuring the protection of private information.
文摘Blepharoplasty is a frequently performed aesthetic surgery today aimed at enhancing eyelid appearance and correcting age-related changes.The traditional method of subtraction blepharoplasty,which involved removing fat and excess skin,is now considered outdated.This letter explores Gorgy et al's commentary on Miotti et al's study,highlighting a shift in upper eyelid blepharoplasty towards a more conservative,volume-preserving approach.The study systematically reviewed 10 publications,including three retrospective studies,five comparative studies,and two clinical trials.It emphasizes the trend towards preserving the patient's natural anatomy and focusing on enhancement rather than alteration.However,the study's limitations,such as the lack of long-term comparative re-search,a relatively small sample size,and a single-center design,indicate that further research with extended follow-up is necessary to validate the safety and effectiveness of these techniques.The focus is increasingly on preserving and augmenting volume in upper blepharoplasty rather than removing tissue.
文摘Porous organic polymers are remarkably versatile materials with porous and carefully designed structures.They complement traditional preservation methods by overcoming their limitations and significantly extending the shelf life of preserved products.Notably,porous hollow nanospheres(PHNs),with their unique hollow structures capable of adsorbing and releasing organic molecules,have garnered considerable attention in food preservation.However,most PHNs are challenging to synthesize in one step,and PHNs are usually in powder form,which makes it challenging to apply them directly.In this study,we successfully synthesized PHNs in one step using the Friedel–Crafts reaction.The PHNs,adsorbed with hexanal molecules,were then embedded in polymer fibers to create composites via electrospinning.The preservation effect of the composite nanofiber membranes was investigated by determining the changes in appearance,weight,peel hardness,and pulp sugar content of three fruits,namely strawberries,bananas,and kumquats,after several days of storage.In comparison to pure poly(ε-caprolactone)fiber membranes,PHNs containing hexanal molecules slowed down the oxidative deterioration process and enhanced the quality and flavor of preserved fruits.This research presents innovative approaches for using porous organic polymers in food preservation and serves as a valuable reference for the development of future food packaging materials.
文摘BACKGROUND Low rectal cancer poses a significant surgical challenge because of its close proximity to the anal sphincter,often requiring radical resection with permanent colostomy to achieve oncological safety.Revisited rectal anatomy,advances in surgical techniques and neoadjuvant therapies have enabled the possibility of sphincter-preserving procedures,however,it is uniformly not applicable.Selecting appropriate candidates for sphincter preservation is crucial,as an illadvised approach may compromise oncological outcome or lead to poor functional outcomes.Currently there is no consensus-which clinical,anatomical,or molecular factors most accurately predict the feasibility of sphincter-preserving surgery(SPS)in this subset of patients.By identifying these predictors,the study seeks to support improved patient selection,enhance surgical planning,and ultimately contribute to better functional and oncological outcomes in patients with low rectal cancer.AIM To identify predictive factors that determine the feasibility of SPS in patients with low rectal cancer.METHODS A comprehensive literature search was conducted using PubMed/MEDLINE databases.The search focused on various factors influencing the feasibility of SPS in low rectal cancer.These included patient-related factors,anatomical considerations,findings from different imaging modalities,advancements in diagnostic tools and techniques,and the role of neoadjuvant chemoradiotherapy.The relevance of each factor in predicting the potential for sphincter preservation was critically analyzed and presented based on the current evidence RESULTS Multiple studies have identified a range of predictive factors influencing the feasibility of SPS in low rectal cancer.Patient-related factors include age,sex,preoperative continence status,comorbidities,and body mass index.Anatomical considerations,such as tumor distance from the anal verge,involvement of the external anal sphincter,and levator ani muscles,also play a critical role.Additionally,a favourable response to neoadjuvant chemoradiotherapy has been associated with improved suitability for sphincter preservation.Several biomarkers,such as inflammatory markers like interleukins and C-reactive protein,as well as tumor markers like carcinoembryonic antigen,are important.Molecular markers,including BRAF and KRAS mutations and microsatellite instability status,have been linked to prognosis and may further guide decision-making regarding sphincter-preserving approaches.Artificial intelligence(AI)can further add in to select an ideal patient for sphincter preservation.CONCLUSION SPS is feasible in low rectal cancer and depends on patient factors,tumor anatomy and biology,preoperative treatment response,and biomarkers.In addition,tools and technology including AI can further help in selecting an ideal patient for long term optimal outcome.
文摘n recent years,China has placed increasing emphasis on the protection of cultural heritage.In July 2024,Beijing’s Central Axis was o!cially inscribed on the World Heritage List,and on 4 December 2024,the Spring Festival was added to the UNESCO Intangible Cultural Heritage list.Public awareness of the importance of preserving historical sites and promoting the inheritance and celebration of Chinese civilisation has also grown significantly.
基金supported by the National Natural Science Foundation of China(32060520)Science and Technology Talents and Platform Program of Yunnan Province(202105AF150049)University Key Laboratory of Food Microbial Resources and Utilization in Yunnan Province(Yunjiaofa[2018]No.135).
文摘In order to ensure food safety,controlling foodborne pathogen contamination is of utmost importance.Growing apprehensions regarding the safety of synthetic antimicrobials,due to their adverse health effects,have prompted a search for alternative options.Plant natural products(PNPs)with antimicrobial activity are being explored as a viable alternative.Among the various antimicrobial natural products studied,plant essential oils,plant flavonoids,plant polyphenols,plant polysaccharides,and plant antimicrobial peptides have been identified as potential candidates.PNPs demonstrate a diverse array of antimicrobial mechanisms,encompassing cell wall and membrane damage,interference with genetic replication,disruption of energy metabolism,and induction of oxidative stress at the single-cell level,as well as inhibition of biofilm formation and quorum sensing at the population level.Certain PNPs have been harnessed as natural antimicrobial agents for the food preservation.The utilization of encapsulation technology proves to be an effective strategy in protecting PNPs,thereby ensuring good antimicrobial efficacy,enhanced dispersibility,and controlled release within food products.The utilization of nanoemulsions,nanoliposomes,edible packaging,electrospun nanofibers,and microcapsules formed by encapsulation has enriched the ways in which PNPs can be applied in food preservation.Although PNPs have great potential in food preservation,their widespread application in the food industry is currently constrained by factors such as production costs,safety concerns,and legal considerations.Chemical synthesis and biosynthesis pathways offer viable strategies for reducing the cost of producing PNPs,and ongoing efforts to assess safety and improve regulatory frameworks are likely to facilitate the broader adoption of PNPs in food preservation practices.This article provides an overview of the main types of PNPs with antimicrobial activity and their properties,focusing on their mechanisms of action.Additionally,it summarizes the use of PNPs in food preservation and discusses the characteristics and applications of different encapsulation technologies.Lastly,the paper briefly analyzes current limitations and proposes potential future trends for this field.
基金supported by Natural Science Foundation of China(Nos.62303126,62362008,author Z.Z,https://www.nsfc.gov.cn/,accessed on 20 December 2024)Major Scientific and Technological Special Project of Guizhou Province([2024]014)+2 种基金Guizhou Provincial Science and Technology Projects(No.ZK[2022]General149) ,author Z.Z,https://kjt.guizhou.gov.cn/,accessed on 20 December 2024)The Open Project of the Key Laboratory of Computing Power Network and Information Security,Ministry of Education under Grant 2023ZD037,author Z.Z,https://www.gzu.edu.cn/,accessed on 20 December 2024)Open Research Project of the State Key Laboratory of Industrial Control Technology,Zhejiang University,China(No.ICT2024B25),author Z.Z,https://www.gzu.edu.cn/,accessed on 20 December 2024).
文摘Due to the development of cloud computing and machine learning,users can upload their data to the cloud for machine learning model training.However,dishonest clouds may infer user data,resulting in user data leakage.Previous schemes have achieved secure outsourced computing,but they suffer from low computational accuracy,difficult-to-handle heterogeneous distribution of data from multiple sources,and high computational cost,which result in extremely poor user experience and expensive cloud computing costs.To address the above problems,we propose amulti-precision,multi-sourced,andmulti-key outsourcing neural network training scheme.Firstly,we design a multi-precision functional encryption computation based on Euclidean division.Second,we design the outsourcing model training algorithm based on a multi-precision functional encryption with multi-sourced heterogeneity.Finally,we conduct experiments on three datasets.The results indicate that our framework achieves an accuracy improvement of 6%to 30%.Additionally,it offers a memory space optimization of 1.0×2^(24) times compared to the previous best approach.
文摘Spleen-preserving distal pancreatectomy(SPDP)has gained increasing attention as a safe and effective alternative to distal pancreatectomy with splenectomy,particularly for benign and low-grade malignant lesions of the pancreatic body and tail.This narrative review evaluates the current evidence,technical considerations,and disease-specific indications for SPDP.Literature was reviewed using up to date scientific evidence and most recent national and international guidelines.Studies addressing SPDP outcomes,splenectomy complications,and disease-specific oncologic principles were included.Spleen preservation has been associated with reduced rates of postoperative infections,thromboembolic events,and longterm immunologic compromise,without compromising oncologic outcomes in selected patients.Indications favoring SPDP include pancreatic neuroendocrine tumors,intraductal papillary mucinous neoplasms,and solid pseudopapillary neoplasms.Although current guidelines generally recommend splenectomy for pancreatic ductal adenocarcinoma,emerging data suggest that spleen preservation may be feasible in highly selected cases.Technical approaches—primarily the Kimura and Warshaw techniques—enable safe dissection and splenic vessel management,particularly with the support of minimally invasive platforms.In conclusion,SPDP should be considered in appropriately selected patients to reduce morbidity while preserving long-term immune function.Future randomized studies are warranted to define oncologic safety and refine indications across tumor types.