[Double-channel expansion of the subcutaneous lower abdominal tunnel for sequential inguinal lymph node dissection in penile cancer - Report of six cases].

OBJECTIVE: To investigate the safety and efficacy of the two-channel dilatation procedure for subcutaneous tunneling in the lower abdomen during pelvic lymph node dissection for penile cancer. METHODS: A retrospective analysis was conducted on the clinical data of 6 patients treated from January 2020 to December 2022 using the dual-channel expansion technique for penile cancer lymph node dissection. RESULTS: All 6 cases ( 12 sides) successfully underwent prophylactic inguinal lymph node dissection. The average laparoscopic dissection time was ( 82.50 ± 12.08) minutes per side, with an average blood loss of （28.33 ± 10.95） ml. The number of lymph nodes dissected was （11.16 ± 1.02） for the superficial group and ( 0.67 ± 0.74 ) for the deep group. Postoperative pathology was negative in all cases. The average postoperative hospital stay was （7.33 ± 1.60 ） days, with a catheter removal time of （12.00 ± 2.06）days. Postoperative complications included abnormal skin sensations in 5 sides, lower limb edema in 3 sides, lymphedema in 3 sides, and cellulitis in 1 side. During a follow-up period of （20.60 ± 12.51）months, there were no instances of tumor recurrence or metastasis in the inguinal region among the patients. CONCLUSION: The dual-channel expansion technique for inguinal lymph node dissection via a subcutaneous tunnel is a safe and feasible treatment for penile cancer. It has a low complication rate, allows for thorough dissection of inguinal lymph nodes, and offers advantages in terms of surgical time.

Evaluation and efficacy of metal oxides in terms of antibacterial activity and toxic chemical degradation.

Inorganic metal oxides Ag2O, CuO and ZnO were examined using SEM, XRD, TGA and ICP spectroscopy to analyze their structures and physical properties in terms of resistance to germs and toxic chemicals. Zone of inhibition testing and the plate-counting method were used in this study to examine the antibacterial activities of the metal oxides against Gram-negative Escherichia coli (E. coli) and Pseudomonas aeruginosa (P. aeruginosa), and Gram-positive Staphylococcus aureus (S. aureus) and Bacillus subtilis (B. subtilis). Furthermore, 2­chloro­ethyl ethyl sulfide (2­CEES) was used to study the degradation efficacy of the metal oxides by the NMR method. The objective of the study was to develop and evaluate metal oxides that are able to protect against chemical and biological warfare agents. Excellent antibacterial and catalytic toxic chemical degradation properties were obtained.

Fish oil alleviates liver injury induced by intestinal ischemia/reperfusion via AMPK/SIRT-1/autophagy pathway.

AIM: To evaluate whether fish oil (FO) can protect liver injury induced by intestinal ischemia/reperfusion (I/R) via the AMPK/SIRT-1/autophagy pathway. METHODS: Ischemia in Wistar rats was induced by superior mesenteric artery occlusion for 60 min and reperfusion for 240 min. One milliliter per day of FO emulsion or normal saline was administered by intraperitoneal injection for 5 consecutive days to each animal. Animals were sacrificed at the end of reperfusion. Blood and tissue samples were collected for analyses. AMPK, SIRT-1, and Beclin-1 expression was determined in lipopolysaccharide (LPS)-stimulated HepG2 cells with or without FO emulsion treatment. RESULTS: Intestinal I/R induced significant liver morphological changes and increased serum alanine aminotransferase and aspartate aminotransferase levels. Expression of p-AMPK/AMPK, SIRT-1, and autophagy markers was decreased whereas tumor necrosis factor-α (TNF-α) and malonaldehyde (MDA) were increased. FO emulsion blocked the changes of the above indicators effectively. Besides, in LPS-stimulated HepG2 cells, small interfering RNA (siRNA) targeting AMPK impaired the FO induced increase of p-AMPK, SIRT-1, and Beclin-1 and decrease of TNF-α and MDA. SIRT-1 siRNA impaired the increase of SIRT-1 and Beclin-1 and the decrease of TNF-α and MDA. CONCLUSION: Our study indicates that FO may protect the liver against intestinal I/R induced injury through the AMPK/SIRT-1/autophagy pathway.

2,2-Dimethyl-5-triphenyl-methyl-1,3-dioxane.

The title compound, C(25)H(26)O(2), crystallizes with two crystallographically independent mol-ecules in the asymmetric unit. The differences between the two mol-ecules are marginal. The three benzene rings of each mol-ecule are in a propeller orientation and the 1,3-dioxane ring adopts a chair conformation.

5,5-Bis(hydroxy-meth-yl)-2-phenyl-1,3-dioxane.

In the title compound, C(12)H(16)O(4), the 1,3-dioxane ring adopts a chair conformation; the 2-phenyl substitutent occupies an equatorial position. Adjacent mol-ecules are linked by O-H⋯O hydrogen bonds into a chain.