Preparation and property evaluation of graphene oxide based silver nanoparticles composite materials / 生物医学工程学杂志

We prepared silver nanoparticles/polyethyleneimine-reduction graphene oxide (AgNP/rGO-PEI) composite materials, and evaluated their quality performance in our center. Firstly, we prepared AgNP/rGO-PEI, and then analysed its stability, antibacterial activity, and cellular toxicity by comparing the AgNP/rGO-PEI with the silver nanoparticles (PVP/AgNP) modified by polyvinylpyrrolidone. We found in the study that silver nanoparticles (AgNP) distributed relatively uniformly in AgNP/rGO-PEI surface, silver nanoparticles mass fraction was 4.5%, and particle size was 6-13 nm. In dark or in low illumination light intensity of 3 000 lx meter environment (lux) for 10 days, PVP/AgNP aggregation was more obvious, but the AgNP/rGO-PEI had good dispersibility and its aggregation was not obvious; AgNP/rGO-PEI had a more excellent antibacterial activity, biological compatibility and relatively low biological toxicity. It was concluded that AgNP/rGO-PEI composite materials had reliable quality and good performance, and would have broad application prospects in the future.

Design of an integrative laser laryngoscope system / 生物医学工程学杂志

Laser technology is widely used in many medical fields such as general surgery, cardio-thoracic surgery, neurosurgery and urology. Laser has the characteristics of identical direction and high energy density, so that a laser knife leaves smooth incisions, less hemorrhage and less infection. The design presented in this paper applied the advanced laser technology in laryngoscopic operations, which increases efficiency and safety of the operation. The design included a laryngoscope, a laser-knife system host machine and a laser-knife, which were integrated in the front of the laryngoscope working terminal. Operators could choose the laser with appropriate wavelength to cut, irradiate, stop bleeding and coagulate the foreign objects or lesions of the larynx. A Chinese national patent (patent number ZL201020537693. 5) has been granted to the design.

Clinical value of non-invasive monitoring of cerebral hemodynamics for evaluating intracranial pressure and cerebral perfusion pressure in patients with moderate to severe traumatic brain injury

Objective: To explore the clinical value of non-invasive monitoring of cerebral hemodynamics for evaluating intracranial pressure (ICP) and cerebral perfusion pressure (CPP) in patients with moderate to severe traumatic brain injury (TBI). Methods: Transcranial Doppler (TCD) was employed to detect the hemodynamics of bilateral middle cerebral arteries, including systolic blood fl ow velocity (Vp), diastolic blood fl ow velocity (Vd), average fl ow velocity (Vm), pulsatility index (PI) and resistance index (RI) in 52 patients with moderate to severe TBI. At the same time, the CPP, ICP and mean arterial blood pressure (MABP) were monitored. The correlations between hemodynamics and MABP, ICP as well as CPP were analyzed. Results: The PI and RI were positively related to the ICP (r=0.881, P<0.0001; r=0.789, P<0.0001). Multiple stepwise regression analysis showed PI was closely associated with ICP (ICP=-8.593+24.295PI; t=13.216, P<0.0001) and signifi cant correlation was also found between CPP and PI as well as MABP (CPP=15.596-22.886PI+0.910MABP; F= 76.597, P<0.0001). Conclusion: Non-invasive monitoring of cerebral hemodynamics by TCD can refl ect the real time changes in the ICP and CPP and may be used as an effective tool to monitor the ICP and CPP. This method is non-invasive, safe, cheap, repeatable and applicable in clinical practice.

Design of integrative confocal-microscopic hard laryngoscope system / 国际生物医学工程杂志

Objective The existing laryngoscope can not be used to observe the ultrastructure of cells.As a result,doctors always have to conduct biopsies on some patients who can not be diagnosed.The timeconsuming procedure of biopsy may be detrimental to the timely diagnosis and treatment.To solve this problem,we aimed to design the integrative confocal-microscopic hard laryngoscope system (ICMHL).Methods ICMHL system integrated the technique of existing laryngoscope and confocal microscopy,which allows doctors to observe the macrostructure and microstructure of lesions at the same time. Results With the effect of fluorescein sodium,ICMHL system could record the dynamic changes of cells at a rate of 30 fps,and the confocal-microscopic host machine could photograph images at a rate of 230 fps and diagnose invisible minute lesions.Conclusion ICMHL system provides a new,real-time approach for clinic biopsy.

Comparative study on laparoscopy assisted radio frequency ablation and percutaneous radio frequency ablation for hepatocellular carcinoma / 中华普通外科杂志

Objective To evaluate laparoscopy assisted radio frequency ablation (LRFA) and percutaneous radiofrequency ablation ( PRFA ) for the treatment of hepatocellular carcinoma ( HCC ).Methods A total of 525 HCC patients were enrolled,including LRFA group of 78 cases with 106 tumor nodules,and PRFA group of 447 cases with 565 tumor nodules.Results ( 1 ) In LRFA group complete ablation rate was 97.17％ (103/106); in LRFA group complete ablation rate was 93.09％ (526/565)(x2 =2.523,P =0.112).(2)The 1,3,5 year overall survival rate was 96.15％,55.12％ and 38.46％in LRFA group and 93.73％,48.54％ and 31.54％ in PRFA group respectively ( x2 =0.699,1.151,1.447 ; P =0.403,0.283,0.229 ).The 1,3,5 year disease-free survival rate was 94.87％,43.58％ and 28.21％ in LRFA group and 93.73％,48.54％ and 31.54％ in PRFA group respectively (x2 =0.915,0.303,0.174; P=0.339,0.582,0.676).The average disease-free survival time was 22.25 months in LRFA group and 21.53 months in PRFA group respectively.(3)The serious complications was 0％ (0/78)in LRFA group and 1.34％ ( 6/447 ) in PRFA group respectively.( 4 ) Recurrence rate was 23.07％(18/78) in LRFA group,and 34.89％ (156/447) in PRFA group ( x2 =4.189,P =0.041 ).Conclusions The therapeutical effect of LRFA equals that of PRFA,while enjoying lower recurrence rate,no serious complications and higher treatment safety.

The effect of Fe3O4 nanometer magnetic fluid induced hyperthermia on implanted liver cancer in nude mice / 中华普通外科杂志

Objective To study the therapeutic effect of Fe3O4 nanometer magnetic fluid-induced hyperthermia on implanted liver cancer in nude mice under alternating magnetic field. Methods Nude mice model bearing implanted HepG2 was established. Mice were then randomly divided into 3 groups: the blank control group; the magnetic field group; nanometer magnetic fluid group. The magnetic field group were just put under the magnetic field; Nanometer magnetic fluid group received injection of PEG-PEI/Fe3O4 nanometer magnetic fluid under the alternating magnetic field. At the frequency of 40 kHz, and magnetic field of 5 kA/m, 15 minutes one day in the next 14 days. On the 7th day and the 15th day, the changes of tumor volume and weight were recorded, cell apoptosis were observed and recorded and pathological examination was done. Results On the 7th and the 15th day, in the nanometer magnetic fluid group, tumors' volume was smaller and the weight was lighter than other groups, and the tumor inhibitory rate of 54. 20% (t = 14. 506,P ＜0. 01 ) was significantly higher than the control group and the magnetic field group 22. 66% ( t = 7.497, P ＜ 0. 05 ). In the control group, tumor cells grew well, high density, the nucleus engrained, the shape irregular, the nuclear fission clear; compared with the control group, in the magnetic field group, tumor cells scatter thinly, intercellular substance increases, and necrosis area formed;in the nanometer magnetic fluid group, many of tumor cells died, their cell nucleus broke up and vanished,the blood vessel reduced obviously, and the tumor cell spread thinly. Conclusions Under the alternating magnetic field, PEG-PEI/Fe3O4 nanometer magnetic fluid inhibits liver cancer growth in nude mice model of HepG2.

Inhibitory effect of DADS on transplantation tumor from hepatic carcinoma HePG2 cells in nude mice / 中南大学学报(医学版)

OBJECTIVE@#To investigate the inhibitory effect of diallyl disulfide (DADS) on transplantation tumor from hepatic carcinoma HePG2 cells in nude mice and its mechanism.@*METHODS@#Hepatic carcinoma HePG2 cell transplantation tumor model in nude mice was established and the effect of DADS on the growth of transplantation tumor was observed. Cell apoptosis and proliferation associated protein expressions were assayed by immunohistochemical method and Western blot. Cell apoptosis was assayed by TUNEL.@*RESULTS@#DADS could inhibit HePG2 cell transplantation tumor growth in nude mice. TUNEL showed that DADS enhanced the cell apoptosis and apoptosis-promoting protein caspase-3 expression, decreased apoptosis-inhibiting protein bcl-2 expression, and also inhibited proliferation associated protein PCNA expression.@*CONCLUSION@#DADS may inhibit HePG2 cell transplantation tumor growth in nude mice and involve in the inhibition of cell proliferation and enhancement of cell apoptosis.

Effect of graphite carbon nanoparticles on cell growth in vitro / 中国组织工程研究

BACKGROUND: Previous research has indicated that graphite carbon nanoparticles have a strong adsorbability. While, when the concentration is effectively controlled, graphite carbon nanoparticles also have well compatibility and sensitizing effect. OBJECTIVE: To observe the morphology of graphite carbon nanoparticles, and to investigate the effects of graphite carbon nanoparticles on cell proliferation and ultramicrostructure.METHODS: Graphite carbon nanoparticles (0.5 g) were put in 100 mL triple distilled water to obtain graphite carbon nanoparticle mother liquid after oscillation and microfiltration. HepG2 cells, L02 cells, HI7702 cells, and 3T3 cells in the logarithmic phase were adjusted to the concentration of 5×10~7/L and inoculated in 6-well culture plate with 0.5 mL per well. Thereafter, the cells were cultured with RPMI-1640 culture media (1.5 mL) containing fetal bovine serum, penicillin, and streptomycin. The original culture solution was removed after 24 hours. The 1-5 wells were considered as the experimental group, and 25, 10, 7.5, 5, 0.25 mg/Lgraphite carbon nanoparticles (2.0 mL) were respectively added into each well; while, the sixth well was considered as the blank control group without graphite carbon nanoparticles. The cells in the blank control group were cultured for 24 hours. Particle diameter was measured using atomic force microscopy; morphology was observed using electron microscope; effect of different concentrations of graphite carbon nanoparticles on cell number was detected using hemacytometry under optic microscope; the effect of 7.5 mg/L graphite carbon nanoparticles on ultramicrostructure was observed under transmission electron microscope. RESULTS AND CONCLUSION: Graphite carbon nanoparticles were around and 20 nm diameter. Compared with the blank control group, cell numbers except HepG2 cells were increased, especially the effect of 7.5 mg/L graphite carbon nanoparticles was greatest (P < 0.05). Transmission electron microscope indicated that graphite carbon nanoparticles were distributed into cells, including cytoplasm, nucleus, and mitochondrion; while, subcellular structure damage and cell apoptosis and necrosis were absent. Graphite carbon nanoparticles have no side effects on in vitro cultured cells and can promote cell proliferation, showing a dose-dependence correlation, especially the concentration of 7.5 mg/L.

Small interfering RNA targeting vascular endothelial growth factor gone inhibits proliferation of gallbladder cancer cells: An in vitro and in vivo experiment / 中国组织工程研究

BACKGROUND: Previous studies demonstrated that proliferation of cancer cells can be inhibited via RNA interference on the expression of vascular endothelial growth factor (VEGF). However, few studies report RNA interference on the expression of VEGF in gallbladder carcinoma, OBJECTIVE: To design and screen shRNA targeting VEGF, and to observe the effect of small interfering RNA targeting on proliferation of gallbladder cancer cells. METHODS: The VEGF-shRNA fragment was synthetized and connected with pCYU6/GFP/Neo-shRNA plasmid vector, shRNA was transfected into gallbladder cancer cells. The gallbladder carcinoma models of nude mice were prepared and randomly divided into blank control, negative control and experimental groups, With 6 animals in each group. ShRNA was injected into tumor. Cell growth was detected by fluorescence microscope MTT. The RNA interference efficiency was examined by fluorescent quantitative RT-PCR. Changes of tumor volume were also observed. RESULTS AND CONCLUSION: Gallbladder cancer cells ware shrunk with round shapes and a part of cells were dead after RNA interference on VEGF. shRNA-VEGF1 and shRNA-VEGF2 could signiticently inhibit mRNA gene expression of VEGF, the inhibition ratio was 86% and 82%, respectively. The tumor volume of the experimental group was smaller than the other groups, with slowly growth (P < 0.05). No obvious changes were found in the blank control and negative control groups. The constructed hVEGF-shRNA vector markedly decreases VEGF gene expression and inhibits cellular proliferation, eventually, to treat gallbladder cancer.

Treatment of bronchopleural fistula using injection of fibrin sealant combined with microwave under endoscope in 8 cases / 中国组织工程研究

BACKGROUND: Traditional treatment includes conservative therapy and surgical treatment on bronchial pleural fistula. With the development of endoscopic therapy, a new safe and effective method is concerned. OBJECTIVE: To summarize the therapeutic effect of treating bronchopleural fistula using bronchoscopy-guided injection of fibrin sealant combined with gelatin sponge filled and microwave following after lung resection. METHODS: Totally 8 cases of bronchial fistula patients were received injection of fibrin sealant after microwave and gelatin sponge filled by bronchoscopy, including 6 males and 2 females, mean aged 53.8 years (39-73 year-old). Cases 1 and 2 received left upper pulmonary Iobectomy, cases 3 received left lower pulmonary Iobectorny, case 4 received right lower pulmonary Iobectomy, cases 5 and 6 received right upper pulmonary Iobectomy, and the cases 7 and 8 received pneumonectomy. bronchopleuralfistula occurred after postoperative Chemotherapy in cases 4 and 8. RESULTS AND CONCLUSION: The case 8 was failed to treatment due to the large orificium fistulae (> 5 mm) and disappointed results after 6 times plugging. The other 7 patients were cured successfully. The injection time was correlated to the size of orificium fistulae, and the plugging was successful for 4 patients with less than 3 mm orificium fistulae. However, a third or fifth plugging was performed for 3 cases with 3-5 rnm orificium fistulae. No surgery-related complications occurred in all patients. Bronchoscopy guided injection of fibrin sealant combined with gelatin sponge and microwave is a safe and effective method for bronchial fistula.

Effect of surface modification on anti-fogging and anti-reflection of optical glasses / 中国组织工程研究

BACKGROUND: The polarity and the layer-by-layer coating method which are utilized to improve the membrane surface of optical glasses is a new focus for researching in the world. OBJECTIVE: To prepare a stable hydrophilic anti-fogging coating by surface modification. METHODS: Hydrophilic anti-fogging coatings of complexes of polyacrylic acid (PAA), cationic polyacrylamide (CPAM) and sodium silicate were fabricated by layer-by-layer coating method. Subsequently, the stable multilayer films were obtained by thermal torrefaction. Then the transmittance, hydrophlicity, and hardness were tested. RESULTS AND CONCLUSION: In the wavelength coverage of 200 nm, the transmittance of the anti-fogging coatings was above 92.9%. In the wavelength coverage of 700-800 nm, the transmittance reached 98.1%, suggesting that the membrane had the good transmittance. Water drop dispersed completely after 230 ms when it contacted with the surface of the multilayer films, suggesting that it had the good hydrophilicity. The hardness of stable films structure was 4 H. The layer-by-layer coating method was simple and favorable for preparing the anti-fogging coatings with good product properties including good stability, anti-fogging function and the improved transmittance.

Determination of content and entrapment efficiency of clindamycin phosphate liposome / 生物医学工程学杂志

This study was conducted to prepare and determine the content and entrapment efficiency of Clindamycin Phosphate liposome. Evaporating and Ultrasound method was used for preparing Clindamycin Phosphate liposome. HPLC was used for determining the concentration and the entrapment efficiency of Clindamycin Phosphate liposome. The results indicated that Clindamycin Phosphate had a good linear relation in a range of 5.0-50.0 microg/ml. The entrapment efficiency of Clindamycin Phosphate liposome in three groups reached 52.26%, 50.13%, 53.75% respectively. Accordingly, the technique of preparing Clindamycin Phosphate liposome was noted to be feasible, and the method of quality control was shown simple and accurate.

Anus-preserving laparoscopic rectal resection in 75 patients with lower rectal cancer / 中南大学学报(医学版)

OBJECTIVE@#To discuss the feasibility of anus-preserving laparoscopic rectal resection for lower rectal cancer.@*METHODS@#We retrospectively analyzed 75 patients with lower rectal cancer treated with anus-preserving laparoscopic rectal resection.@*RESULTS@#All the 75 patients were successfully operated and rehabilitatedly discharged. In the follow-up period in 68 patients, all lived healthy except 5 patients with hepatic metastasis and 1 with in-situ recurrence 1 year after the operation.@*CONCLUSION@#With the development of laparoscopic technique and laparoscopic total mesorectum excision technique as well as the application of stapler, the operation field is expanded, which benefits the separation and anastomosis of the lower intestine, with more chances to preserve anus.

Construction and screening of plasmid expression vectors containing short hairpin RNA targeting at vascular endothelial growth factor gene of GBC-SD cells / 中国组织工程研究

BACKGROUND: Previous reseamh has proved that RNA interference can inhibit vascular endothelial growth factor (VEGF) gene expression of colon carcinoma, carcinoma of prostate, and retinoblastoma. However, RNA interference inhibiting VEGF of carcinoma of gallbladder was not reported. OBJECTIVE: To construct a plasmid expression vector coding for the short hairpin RNA (shRNA) targeting hVEGF165 mRNA. DESIGN, TIME AND SETTING: A gene engineering study was performed at National Hepatobiliary & Enteric Surgery Research Center, Xiangya Hospital, Central South University from 2008 to 2009.MATERIALS: Human GBC-SD was provided by Tumor Research Institute of Tongji University. METHODS: Four pairs of shRNAs that targeted at VEGF gene were designed. The eukaryotic expression plasmids (named shRNA1-4) were constructed and identified using restriction enzyme analysis. The plasmids were then transfected into GBC-SD cells via liposome2000. The transfection rate of recombinant plasmids was measured at 48 hours after transfection. MAIN OUTCOME MEASURES: Enzyme analysis of recombinant plasmid; transfection rate; VEGF mRNA expression determined using fluorescent polymerase chain reaction. RESULTS: shRNA plasmid vector targeting at VEGF gene was successfully constructed, in particular, pDC316-EGFP-U6-shRNA2 was the most effective. The expression plasmids were confirmed by restriction enzyme analysis. The transfection rate of recombinant plasmids in GBC-SD cells was approximately 58.6%. shRNA could inhibit VEGF mRNA expression, in particular, the inhibitory rate of RNA2 was the highest by 86%.CONCLUSION: The shRNA eukaryotic expression plasmid targeting at VEGF gene is constructed and selected successfully, and it can remarkably inhibit VEGF expression of GBC-SD cells. Additionally, the inhibitory effect of RNA2 is the greatest.

Preparation and characterization of chitosan nanoparticles loaded with pcDNA3.1(-)/ MAGE-3-HSP70 / 中国组织工程研究

BACKGROUND: Naked plasmid DNA cannot transfect cells effectively because of negative charge and the degradation of nuclease. Chitosan is a biodegradable natural cationic polysaccharide. It can provide effective protection against DNases and enhance transfection efficiency.OBJECTIVE: To prepare chitosan nanoparticles loaded with pcDNA3.1(-)/MAGE-3-HSP70 by complex coacervation method and to research its characteristics.DESIGN, TIME AND SETTING: A controlled experiment was performed at the Key Laboratory of Nano-biotechnology, National Ministry of Public Health of China from February to August 2009.MATERIALS: pcDNA3.1 (-)/MAGE-3-HSP70 was constructed at the Key Laboratory of Nano-biotechnology, National Ministry of Public Health of China. Chitosan, deacetylation degree > 90.0%, viscosity < 100 cps, batch number 060306, was obtained from Shanghai Bio Life Science & Technology Co., Ltd. B16 cells were presented by the Institute of Oncology, Central South University. METHODS: Chitosan nanoparticles loaded with pcDNA3.1(-)/MAGE-3-HSP70 were prepared by complex coacervation method. Then the naparticles were transfected into B16 cells, and the level of MAGE-3-HSP70 mRNA was tested using reverse transcription-polymerase chain reaction (RT-PCR) technology. The in vitro cytotoxicity of the nanoparticles was determined by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl (MTT) assay.MAIN OUTCOME MEASURES: Particle diameter and Zeta potential were determined by ZetaSizer 1000HSA. Efficiency of the encapsulation was measured with a spectrophotometer. The combination manner was observed by gel retardation test. The ability to protect plasmid DNA from Dnase I degradation was evaluated by DNase Ⅰ protection test. RESULTS: The mean diameter of chitosan plasmid DNA nanoparticles was 223 nm, its zeta potential was 16 mV. The encapsulation efficiency of DNA was 92.3%. The transfection efficiency of chitosan plasmid DNA nanoparticles by B16 cells was about equivalent to that of the Lipofectamine 2000 reagent. Chitosan plasmid DNA nanoparticles were much less cytotoxlc when compared with Lipofectamine 2000-pDNA complexes.CONCLUSION: Chitosan plasmid DNA nanoparticle were nontoxic to cultured cells and plasmid DNA can be efficiently transferred into B16 cells by chitosan nanoparticles.

Preparation and antibacterial activity of compound chitosan-compound Yizhihao-nanoparticles / 中南大学学报(医学版)

Objective To prepare chitosan (CS)-compound Yizhihao-nanoparticles (NP) and to investigate its antibacterial activity. Methods CS NPs were formed by the incorporation of CS and Na3PO4. CS-compound Yizhihao NPs were prepared by ion-cross-linking. The particle sizes and surface charges of CS NPs were determined by Malvern Zetasizer 1000-HAS and atomic force microscope (AFM), respectively. The antibacterial acitivity of CS-compound Yizhihao-NPs was studied in vitro and compared with that of compound Yizhihao powder. Results Malvern Zetasizer 1000-HAS and AFM demonstrated that the diameter of CS-compound Yizhihao NPs was (137.00±14.28)nm and CS NPs had (16.90±1.32)mV positive surface charges. The minimal inhibitory concentrations (MIC) of CS-compound Yizhihao NPs on Staphylococcus aureus,Pneumococcus,β-hemolytic streptococcus, and Escherichia coli were 1:32,1:32,1:16,and 1:2,respectively. The minimal bactericidal concentrations (MBC) of CS-compound Yizhihao-NPs on Staphylococcus aureus,Pneumococcus,β-hemolytic streptococcus, and Escherichia coli were 1:16,1:16,1:8, and 1:2,respectively. The antibacterial efficacy of CS-compound Yizhihao-NPs to Staphylococcus aureus,Pneumococcus,and β-hemolytic streptococcus had been improved significantly (P<0.05). Conclusion CS-compound Yizhihao-nanoparticles have obvious antibacterial activity to the Staphylococcus aureus,Pneumococcus,and β-hemolytic streptococcus,which lays the experimental foundation for new preparation of traditional Chinese medicine in future research.

Experimental study of colorectal cancerous autofluorescent spectra induced by laser / 生物医学工程学杂志

The researches reported in this article are focused on the autofluorescent signal collection of colorectal tissues by laser induced autofluorescent diagnostic system, and on the signal processing by power spectra and networks methods, Pretty good clinical diagnostic sensitivity and specificity are acquired. These may serve as a foundation on which to develop a system for diagnosis of colorecal cancer.

Clinical research on laparascopic management for patients with both gallbladder and common bile duct stones / 中国内镜杂志

[Objective] To investigate the therapeutic status of laparoscopic management for gallbladder stones and common bile duct stones. [Methods] A Retropective study were adopted to analysize the therapeutic scheme,effect for patients with gallbladder stones and common bile duct stones who were treated from January 1996 to September 2004. [Results] 68 cases were diagnosed, and most of them underwent single stage laparoscopic cholecystectomy (LC) and common bile duct exploration (LC BDE). A few of them were treated through endoscopic procedure in combination with LC, or open surgery when the minimal invasive surgery failed. [Conclusions] Both them indicated that patients by LC+LCBDE have shorter hospital stay, easier recovery and less complications. LC+LCBDE has obvious advantage over the other methods with appropriate operative time and high success rate. For choledochlithiasis patients, the single laparoscopic management should be a better, major option.

Timing of endoscopic treatment for acute cholangitis of severe type accompanying multiple organ dysfunction syndrome / 中国微创外科杂志

Objective To investigate the timing of endoscopic treatment for acute cholangitis of severe type(ACST) accompanying multiple organ dysfunction syndrome(MODS).Methods On the basis of routine medical measures,such as oxygen inhalation and antishock treatment,9 patients with ACST accompanying MODS were given endoscopic retrograde cholangiopancreatography(ERCP) with endoscopic sphincterotomy(EST),or endoscopic nasobiliary drainage(ENBD) after needle electrode fenestration and stone removal with basket,or endoscopic retrograde biliary drainage(ERBD) with internal stent.Results The endoscopic treatment was successfully accomplished within 35 min in all the 9 patients.Seven patients at stage 1~2 of MODS rehabilitated at 1~2 weeks after treatment,while 2 patients at stage 3 of MODS died in 2 weeks.Conclusions Endoscopic treatment should be applied to patients with ACST at stage 1~2 of MODS as early as possible.For patients with ACST at stage 3~4 of MODS,however,emphasis should be laid on the prevention of organ failure and the reversion of organ functions.

Hepatoectomy for liver cancer by blocking hepatic hilum under normal temperature(Report of 86 cases) / 新乡医学院学报

Objective To introduce operative skill of liver resection by blocking hilum of liver under normal temperature.Method Retrospective analysis of experience treating 86 cases of liver cancer with the operation.Result Among 86 cases of hepatic malignant tumor,there were not serious complications such as death,massive haemorrhage etc.during operation;postoperative liver failure occurred in 7 cases,among them,cure 5 cases and 2 cases of death.The incision infection occurred in 5 patients;The thorax dropsy occurred in 19 cases, which was absorbed by oneself after treating in 14 cases,cured by puncture occurred in 5 cases.Conclusion Operative skill of blocking hilum of liver under normal temperature is more ideal means in treating the liver cancer.