The safety and short-term effect of mixed approach in laparoscopic right hemicolectomy for right colon cancer compared with middle approach: a retrospective study.

PURPOSE: To investigate whether the mixed approach is a safe and advantageous way to operate laparoscopic right hemicolectomy. METHODS: A retrospective study was performed on 316 patients who underwent laparoscopic right hemicolectomy in our center. They were assigned to the middle approach group (n = 158) and the mixed approach group (n = 158) according to the surgical approaches. The baseline data like gender、age and body mass index as well as the intraoperative and postoperative conditions including operation time, blood loss, postoperative hospital stay and complications were analyzed. RESULTS: There were no significant differences in age, sex, BMI, ASA grade and tumor characteristics between the two groups. Compared with the middle approach group, the mixed approach group was significantly lower in terms of operation time (217.61 min vs 154.31 min, p < 0.001), intraoperative blood loss (73.8 ml vs 37.97 ml, p < 0.001) and postoperative drainage volume. There was no significant difference in the postoperative complications like postoperative anastomotic leakage, postoperative infection and postoperative intestinal obstruction. CONCLUSIONS: Compared with the middle approach, the mixed approach is a safe and advantageous way that can significantly shorten the operation time, reduce intraoperative bleeding and postoperative drainage volume, and does not prolong the length of hospital stay or increase the morbidity postoperative complications.

Damping Asymmetry Trimming Based on the Resistance Heat Dissipation for Coriolis Vibratory Gyroscope in Whole-Angle Mode.

Damping asymmetry is one of the most important factors that determines the performance of Coriolis Vibratory Gyroscope. In this paper, a novel damping tuning method for the resonator with parallel plate capacitors is presented. This damping tuning method is based on resistance heat dissipation and the tuning effect is characterized by the control force in Whole-Angle mode. As the damping tuning and stiffness tuning in the resonator with parallel plate capacitors are coupled with each other, a corresponding tuning system is designed. To verify the tuning effects, experiments are conducted on a hemispherical resonator gyroscope with Whole-Angle mode. The damping tuning theories is demonstrated by the testing results and 87% of the damping asymmetry is reduced by this tuning method with a cost of 3% decaying time. Furthermore, the angle-dependent drift in rate measurement after tuning is only 15.6% of the one without tuning and the scale factor nonlinearity decreases from 5.49 ppm to 2.66 ppm. The method can be further applied on the damping tuning in other resonators with symmetrical structure.