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Objective To discuss the safety and effectiveness of robot-assisted thyroidectomy using Da Vinci system.Methods Endoscopic thyroidectomy assisted by Da Vinci system was performed in 20 patients,including 5 cases of thyroidadenoma,4 cases of nodular goiter,and 11 cases of thyroid carcinoma.The max diameter of thyroid lump is 5.33 cm.Among 9 cases of benign thyroid neoplasm,5 cases underwent unilateral subtotal lobectomy,and 4 cases underwent unilateral near total thyroidectomy.Among 11 cases of thyroid carcinoma,7 cases underwent bilateral near total thyroidectomy,and 4 cases underwent bilateral total thyroidectomy,at the same time,all the 11 cases underwent central region lymph node dissection.Results The robot-assisted endoscopic thymidectomy was successfully carried out in 20 cases.The mean operation time was 206.4 (105～372)min.The mean operative blood loss was 27.3 ml.The draining tube was moved 3 to 6 days after surgery.The mean postoperative hospital stay was 4.9 days.The mean hospital expense was 60 172 yuan RMB.No complication occurred.20 patients were satisfied with the cosmetic effect and compararive curative effect.Conclusions The robot-assisted endoscopic thymidectomy is an efective method for thyroid diseases.The methed can get more clear vision,higher safety,and good cosmetic efect.
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Objective:To investigate the expression and significance of survivin in human breast infiltrating duct carcinoma.Methods:In twenty-eight samples of human breast infiltrating duct carcinoma without chemotherapy,seventeen human breast infiltrating duct carcinoma with chemotherapy,fifteen human normal breast tissue adjacent to carcinoma,twenty breast benign lesion the expressions of survivin were determined by methods of in situ hybridization and immunohistochemistry.Results:The expressions of survivin mRNA were positively correlated with that of survivin protein in every marker and showed no significant difference.The positive expressions of survivin in human breast infiltrating duct carcinoma without chemotherapy were impressively high and they were significantly different among the ages,TNM stages,pathology grades,lymph node metastases and types of receptors( P
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Objective To investigate the inhibitory effect of arsenic trioxide (As 2O 3) on the survivin expression in heterologous graft model of human breast infiltrating duct carcinoma in nude mice. Methods Nude mice bearing the transplanted tumor were randomly divided into four groups: negative control (saline), positive control (cisplatin at the dose of 1.5 mg/kg), and two experimental groups (arsenic trioxide at the doses of 1.5 mg/kg and 3.0 mg/kg). The expression of survivin mRNA and protein expressions of surviving and Caspase 3 in neoplastic tissues were detected by in situ hybridization and immunohistochemical method, respectively. Results In negative control group, the expressions of survivin mRNA and survivin protein were in moderate degree with positive rates of 82.42% and 78.85%, respectively. The positive rates of moderate degree in experimental groups 1 and 2 were gradually decreased with the increasing dose of arsenic trioxide ( P
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Objective To investigate the effects of As_2O_3 on expression of NF-?B p65, survivin and caspase-3 in human breast infiltrating duct carcinoma xenograft model on nude mice. Methods A human breast infiltrating duct carcinoma model on nude mice was established and the nude mice were divided randomly into three groups: control group, DDP group and As_2O_3 group (1.5 and 3.0 mg/kg concentrations). The expression of survivin mRNA was detected with the method of in situ hybridization and the expressions of NF-?B p65, survivin and caspase-3 protein were measured with immunohistochemistry. Results The positive rates of NF-?B p65 and survivin expression were higher in the control group than those in the DDP group and the As_2O_3 groups, but that of caspase-3 was on the opposite way (P