The relationship of sarcopenia in patients undergoing pancreaticoduodenectomy with outcome / 中华临床营养杂志

Objective To explore the prognostic value of sarcopenia in patients undergoing pancreati-coduodenectomy.Method Clinicopathologic data and follow-up information of 116 patients undergoing pancre-aticoduodenectomy at Renmin Hospital of Wuhan University between March 2011 and August 2016 were collected for statistical analysis.Results Among the 116 patients,the prevalence of sarcopenia was 42.2％ (n =49).When compared to the rest of the patients who did not have sarcopenia,the sarcopenia group had longer recovery time [(17.33±6.54) d vs.(13.46±9.32) d,P=0.013] and increased risk of complications (complications in general,59.2％ vs.38.8％,x2 =4.714,P =0.030;Clavien-Dindo ≥ 3:26.5％ vs.10.4％,x2 =5.130,P=0.024).Both the Kaplan-Meier survival analysis (P＜0.05) and the Cox proportional hazard model (overall survival:hazard ratio =2.285,95％ CI =1.521-3.431;recurrence-free survival,hazard ratio =2.167,95％ CI=1.445-3.248) indicated sarcopenia as the risk factor for poorer overall survival and recurrence-free survival.Conclusions Sarcopenia was an independent predictor of poor prognosis for patients undergoing pancreaticoduodenectomy.Patients with sarcopenia had higher risk of developing complications after surgery and lower overall survival rate and recurrence-free survival rate.

Exploration of the safety and feasibility of the preservation of spleen with ligation of splenic vessels / 中华肝胆外科杂志

As an important immune organ,spleen also plays a crucial role in stabilizing hematologic system.Previous reports support that splenectomy must be performed after the ligation of spleen vessels.At recent time,with the deep knowledge of the anatomy and function of spleen,the surgeons have tried to preserve this organ after the ligation of the vessels.From March 2012 to April 2016,five patients in our hospital have undergone the distal pancreatectomy with spleen preservation after the ligation of splenic vessels,and all the patients' outcomes were satisfactory in the follow-up.This essay aims to discuss the safety and feasibility of preserving spleen after the ligation of the vessels by reporting our own experience and reviewing related literatures on this topic.

Study on Prediction Method of Spare Demand Rate and Determination of the Storage Quantity During Military Medical Equipment Maintenance / 医疗卫生装备

Objective To study the spare demand rate and storage quantity probability model for military medical equipment in order to make a valuable reference to the decision-making of medical organization for the further medical support.Methods The reliability and maintainability of spare in the process of equipment maintenance were studied,and the signifi-cant factors which have influence on spare demand rate were analyzed.By using Passion theory,spare demand rate proba-bility model of medical equipment was deduced,especially for repairable components and un-repairable components spare.By calculating the probability of replaceable spare,a useful method to scientifically make out the storage quantity of mili-tary medical equipment was provided.Results The models of spare demand rate and storage quantity were made for mili-tary medical equipment maintenance.Conclusion The solution of the model is simple and convenient and the calculating results shows that the spare demand rate and storage quantity is close to the reality.It can meet the requirements of pre-diction of spare demand rate and determination of the storage quantity in maintenance support of medical equipment in peacetime.