Use of microwave scalpel in hepatectomy for hepatocellular carcinoma / 中华肝胆外科杂志

Objective To study the clinical use of microwave scalpel in hepatectomy for hepatocellular carcinoma without hepatic vascular inflow occlusion.Methods A retrospective study was conducted on the clinical data of 126 consecutive patients with hepatocellular carcinoma who were treated at the Department of Hepatobiliary Surgery of the Third Affiliated Hospital of Sun Yat-sen University from December 2015 to August 2018.The patients included 111 males and 15 females,with ages which ranged from 25 to 75 years.These patients were divided into two groups by the different surgical resection methods:the microwave scalpel hepatectomy (MSH) group which employed microwave scalpels to perform hepatectomy (n =42),and the ultrasound scalpel hepatectomy (USH) group which employed ultrasound scalpels (n =84).The perioperative conditions which included baseline data,amount of intraoperative bleeding,liver function after operation,and morbidity of postoperative complications were compared.Results There were no significant differences in the preoperative indexes which included tumor diameter,number of tumors,levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) between the 2 groups (all P ＞ 0.05).In the MSH group,the amount of intraoperative bleeding was 100.0 (100.0,200.0) ml,which was significantly lower than the 300.0 (100.0,400.0) ml in the USH group (P ＜ 0.05).Compared with the USH group,the levels of AST and ALT on postoperative day 1,3,7 after operation in the MSH group were significantly lower (all P ＜ 0.05),and the corresponding albumin levels were significantly higher than the USH group (P ＜0.05).The incidence of complications was 4.8％ (2/42) in the MSH group which was significantly lower than that of 20.2％ (17/84) in the USH group (P ＜ 0.05).Conclusion Microwave scalpel significantly reduced intraoperative bleeding and postoperative complications,and led to less liver functional injury.

Effect and mechanism of gastrodin in relaxing isolated thoracic aorta rings in rats / 中国中药杂志

<p><b>OBJECTIVE</b>To investigate the effect of gastrodin in relaxing isolated thoracic aorta rings in rats and discuss its possible mechanism.</p><p><b>METHOD</b>Isotonic tension of isolated thoracic aortic rings in rats with norepineprine (NE) and KCl was recorded to observe the vasodilatory effect of gastrodin and the influence of various drugs on it.</p><p><b>RESULT</b>Gastrodin had the effect in relaxing thoracic aortas with or without endothelium, and there was no significant difference. NG-nitro-L-argininemethylester (L-NAME, 1 x 10(-4) mol x L(-1)), methylene blue (MB, 1 x 10(-5) mol x L(-1)), indomethacin (INDO, 1 x 10(-5) mol x L(-1)) had no effect on the vasodilation action of gastrodin on thoracic aortas precontracted by NE. 4-aminopyrimide (4-AP, 1 x 10(-4) mol x L(-1)), tetrathylamonium (TEA, 1 x 10(-3) mol x L(-1)), BaCl2 (1 x 10(-4) mol x L(-1)) and glibenclamide (Gli, 1 x 10(-5) mol x L(-1)) could inhibit gastrodin's effect in relaxing thoracic aorta rings. In the absence of Ca2+, pre-incubated gastrodin showed a notable inhibitory effect in relaxing NE contraction.</p><p><b>CONCLUSION</b>Gastrodin shows a dose-dependent and endothelium-independent effect in relaxing rat isolated thoracic aorta rings. The mechanism is related to K+ channel, inhibition of release of Ca+ stored in endoplasmic reticulum of vascular smooth muscle cells and inflow of external calcium Ca2+.</p>

On Zhuangzi's Life Philosophy / 中国医学伦理学

The value balance of Zhuangzi inclines to the other shore of life.Meanwhile,it needs to grasp firmly the reality.Therefore,it is important to adjust to the real life.In this thesis,life,which is based on the sense of semantics,is taken as the starting point,and life and fate are analyzed in the sense of life ethics from the four levels of(parents) command,fate,mandate of heaven and life.On the static aspect,it can evolve the problem on the beginning and end in Zhuangzi's life ethics.In Zhuangzi's viewpoint,living complies with time and death is conforming.Life and death are the same and identical.On the dynamic aspect,it is eternal.In Zhuangzi's concept coordinate of the identity of life and death,the idea of helping settle down the feeling of life is put forward and it forms the life model of self-changing and self-living.Following the logic clue,a reflection on Zhuangzi's life philosophy is developed and shows his life philosophy model that "I think,therefore,I not exist".