Objective: To investigate the feasibility, safety and the clinical value of primary suture following 3-port laparoscopic common bile duct exploration (LCBDE). Methods: From January 2012 to September 2014, 176 patients...Objective: To investigate the feasibility, safety and the clinical value of primary suture following 3-port laparoscopic common bile duct exploration (LCBDE). Methods: From January 2012 to September 2014, 176 patients suffered from choledocholithiasis were treated with primary suture following 3-port LCBDE and the clinical data were retrospectively analyzed. Results: All cases were operated successfully and none was converted to open surgery. The duration of operation was 92.2 ± 18.8 min and the length of postoperative hospital stay was 4.4 ± 3.7 d. Postoperative bile leakage occurred in 2 cases and these patients recovered by simple drainage for 3 to 7 days without re-operation. All patients recovered smoothly without any serious complications. Conclusions: Primary suture following 3-port LCBDE is safe, effective and mini-invasive, which is worthy of further clinical application.展开更多
Objective:To study the differences in the body pain and trauma degree between uniportal and three-portal video-assisted thoracoscopic surgery for the treatment of lung cancer.Methods:A total of 108 patients with non-s...Objective:To study the differences in the body pain and trauma degree between uniportal and three-portal video-assisted thoracoscopic surgery for the treatment of lung cancer.Methods:A total of 108 patients with non-small cell lung cancer who received radical operation in our hospital between February 2013 and February 2016 were selected and divided into the uniportal group (n=52) who received uniportal video-assisted thoracoscopic surgery and the three-portal group (n=56) who received three-portal video-assisted thoracoscopic surgery after the operation methods and related laboratory results were reviewed. Before operation and 24 h after operation, the differences in serum levels of pain mediators, oxidative stress indexes and inflammation indexes were compared between the two groups of patients.Results: Before operation, the differences in serum levels of pain mediators, oxidative stress indexes and inflammation indexes were not statistically significant between the two groups of patients. 24 h after operation, serum pain mediators NE, DA and 5-HT levels of observation group were lower than those of control group;oxidative stress indexes MDA and O2- levels were lower than those of control group while SOD and GSH-Px levels were higher than those of control group;inflammation indexes IL-6, IL-8, CRP and TNF-α levels were lower than those of control group.Conclusion: Uniportal video-assisted thoracoscopic surgery for the treatment of lung cancer causes less surgery trauma, and patients' postoperative pain and systemic inflammatory stress response are lighter.展开更多
The current-pulse load is generally characterized by wide frequency band and pulse variation,when it is directly connected to the power supply bus.The load power is presented as the instantaneous power.In order to bal...The current-pulse load is generally characterized by wide frequency band and pulse variation,when it is directly connected to the power supply bus.The load power is presented as the instantaneous power.In order to balance the instantaneous power difference between the pulse load and the DC bus,a bi-directional DC/DC converter is usually connected in parallel to compensate for the current fluctuation caused by the characteristics of the pulse load.However,there is a large current spike in the bus current in the pre-stage when the pulse load is changed between light and heavy load.In this paper,a three-state dual-inductance bi-directional converter is proposed.In addition,the load current waveform is directly used to control the inductive branch switches,and an adaptive current feedback control strategy based on the valley voltage loop is proposed to control the power switches.The control method is applicable to the arbitrary change of the frequency and power of the pulse load.Finally,the experimental results show that the threestate dual-inductance bi-directional converter not only eliminates excessive bus current spikes,but also improves the transient response of the three-port power supply system.展开更多
Due to the slow dynamic power-regulation characteristics of the electrolyser(EL),a novel integrated three-port DC/DC converter topology based on a phase-shifted full-bridge converter and dual active-bridge converter i...Due to the slow dynamic power-regulation characteristics of the electrolyser(EL),a novel integrated three-port DC/DC converter topology based on a phase-shifted full-bridge converter and dual active-bridge converter is proposed in this paper.Especially,the proposed converter can achieve a fast auxiliary response to the EL.This topology has the features of single-stage conversion,high system integration and compatibility with multiple operation modes.The operational principles and a hybrid modulation scheme of the proposed converter are analysed in detail.In addition,the power-transmission characteristics of each port and the soft-switching range are researched.On these bases,six operation modes suitable for a hydrogen energy-storage system are designed.The simulation and a 2-kW scaled-down experimental prototype are established to verify the feasibility and effectiveness of the proposed topology in different operation modes.展开更多
文摘Objective: To investigate the feasibility, safety and the clinical value of primary suture following 3-port laparoscopic common bile duct exploration (LCBDE). Methods: From January 2012 to September 2014, 176 patients suffered from choledocholithiasis were treated with primary suture following 3-port LCBDE and the clinical data were retrospectively analyzed. Results: All cases were operated successfully and none was converted to open surgery. The duration of operation was 92.2 ± 18.8 min and the length of postoperative hospital stay was 4.4 ± 3.7 d. Postoperative bile leakage occurred in 2 cases and these patients recovered by simple drainage for 3 to 7 days without re-operation. All patients recovered smoothly without any serious complications. Conclusions: Primary suture following 3-port LCBDE is safe, effective and mini-invasive, which is worthy of further clinical application.
基金Projects of Natural Science Foundation of China No:81373941.
文摘Objective:To study the differences in the body pain and trauma degree between uniportal and three-portal video-assisted thoracoscopic surgery for the treatment of lung cancer.Methods:A total of 108 patients with non-small cell lung cancer who received radical operation in our hospital between February 2013 and February 2016 were selected and divided into the uniportal group (n=52) who received uniportal video-assisted thoracoscopic surgery and the three-portal group (n=56) who received three-portal video-assisted thoracoscopic surgery after the operation methods and related laboratory results were reviewed. Before operation and 24 h after operation, the differences in serum levels of pain mediators, oxidative stress indexes and inflammation indexes were compared between the two groups of patients.Results: Before operation, the differences in serum levels of pain mediators, oxidative stress indexes and inflammation indexes were not statistically significant between the two groups of patients. 24 h after operation, serum pain mediators NE, DA and 5-HT levels of observation group were lower than those of control group;oxidative stress indexes MDA and O2- levels were lower than those of control group while SOD and GSH-Px levels were higher than those of control group;inflammation indexes IL-6, IL-8, CRP and TNF-α levels were lower than those of control group.Conclusion: Uniportal video-assisted thoracoscopic surgery for the treatment of lung cancer causes less surgery trauma, and patients' postoperative pain and systemic inflammatory stress response are lighter.
基金This work was supported by the National Natural Science Foundation of China under Grant 61601378the Sichuan Science and Technology Program under Grant 2019YJ0237Foundation of Key Laboratory of Magnetic Suspension Technology and Maglev Vehicle,Ministry of Education.
文摘The current-pulse load is generally characterized by wide frequency band and pulse variation,when it is directly connected to the power supply bus.The load power is presented as the instantaneous power.In order to balance the instantaneous power difference between the pulse load and the DC bus,a bi-directional DC/DC converter is usually connected in parallel to compensate for the current fluctuation caused by the characteristics of the pulse load.However,there is a large current spike in the bus current in the pre-stage when the pulse load is changed between light and heavy load.In this paper,a three-state dual-inductance bi-directional converter is proposed.In addition,the load current waveform is directly used to control the inductive branch switches,and an adaptive current feedback control strategy based on the valley voltage loop is proposed to control the power switches.The control method is applicable to the arbitrary change of the frequency and power of the pulse load.Finally,the experimental results show that the threestate dual-inductance bi-directional converter not only eliminates excessive bus current spikes,but also improves the transient response of the three-port power supply system.
基金supported by the National Key R&D Program of China (no.2018YFB1503100)the National Natural Science Foundation of China (no.51907021).
文摘Due to the slow dynamic power-regulation characteristics of the electrolyser(EL),a novel integrated three-port DC/DC converter topology based on a phase-shifted full-bridge converter and dual active-bridge converter is proposed in this paper.Especially,the proposed converter can achieve a fast auxiliary response to the EL.This topology has the features of single-stage conversion,high system integration and compatibility with multiple operation modes.The operational principles and a hybrid modulation scheme of the proposed converter are analysed in detail.In addition,the power-transmission characteristics of each port and the soft-switching range are researched.On these bases,six operation modes suitable for a hydrogen energy-storage system are designed.The simulation and a 2-kW scaled-down experimental prototype are established to verify the feasibility and effectiveness of the proposed topology in different operation modes.
