ABSTRACT
OBJECTIVE: To compare dorsal-and-medial hybrid approach and medial-to-lateral approach in laparoscopic right hemicolectomy with complete mesocolic excision(CME). METHODS: Patients undergone laparoscopic right hemicolectomy in Department of Gastrointestinal Surgery in Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine from July 2017 to April 2018 were prospectively included.Patients were divided into two groups:dorsal group and medial group. Clinical and pathological data were collected and compared between the two groups. RESULTS: There were 35 patients in medial group and 40 patients in dorsal group. No significant differences were found between the two groups in baseline characteristics,perioperative outcomes and pathological results. No significant difference was found between the two groups in length of bowel(24 cm vs. 22 cm),A line distance(9.8 cm vs.9.4 cm),B line distance(9.0 cm vs. 8.5 cm),area of mesentery(112.4 cm~2 vs. 109.0 cm~2),total lymph node count(19 vs.19),lymph node adequate ratio(97.1% vs. 97.5%)and CME ratio(80% vs. 85%). Obesity was found to be an independent risk factor of CME ratio(P=0.019). CONCLUSION: Dorsal-and-medial hybrid approach and medial-to-lateral approach are comparable in safety,feasibility and effectiveness in laparoscopic right hemicolectomy with complete mesocolic excision. Randomized clinical trials with larger sample size are needed.
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the characteristics of color of Uygur's oral soft and hard tissue.</p><p><b>METHOD</b>One hundred and fifty-one Uygur medical students (18 to 22 years) were included in this study. The Lab*, Cab*, Hab0, values of subjects' anterior teeth, upper and lower vermilion, attachment gingiva were measured.</p><p><b>RESULTS</b>The mean and distribution of Lab*, Cab*, Hab0, values of Uygur youth' anterior teeth were obtained. The Lab* values of attachment gingiva, upper and lower vermilion in male were 50.50 +/- 3.59, 41.92 +/- 4.10, 45.02 +/- 3.06, and Cab* were 29.94 +/- 3.21, 27.00 +/- 2.47, 30.35 +/- 2.67, and Hab0 were 30.00 +/- 3.27, 31.71 +/- 3.69, 27.73 +/- 3.27, respectively. The Lab* values of attachment gingiva, upper and lower vermilion in female were 54.28 +/- 5.06, 41.73 +/- 3.70, 47.27 +/- 2.97, and Cab* were 27.98 +/- 3.93, 27.23 +/- 2.42, 31.22 +/- 2.59, and Hab0 were 33.39 +/- 3.67, 32.28 +/- 3.68, 27.57 +/- 2.65.</p><p><b>CONCLUSIONS</b>There was a specific color space distribution pattern in oral soft and hard tissue in Uygur youth. There was a trend of decreasing lightness, increasing saturation, and red hue shifting from the center to both distal directions. There was statistical significant gender difference in color of tooth and attachment gingiva. What's more, there was extremely significant difference between upper and lower vermilion.</p>