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( Minh Hai Pham ),( Quan Anh Tuan Le ),( Hoang Bac Nguyen ),( Quang Hung Vu ),( Thai Ngoc Huy Tran ),( Hang Dang Khoa N Guyen ),( Thi Ngoc Sang Duong ),( Van Toan Tran ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1
Aims: Laparoscopic pancreaticoduodenectomy (LPD) is considered as a safe and effective procedure in well - selected patients and appropriate surgical technique. Our aim is to evaluate suitability of using protocol for LPD in treatment of periampullary cancer at a single team. Methods: case series Results: Indication for LPD included 37 cases with resectable tumors which were classified basing on NCCN. All witness evaluation risk of complications with PREPARE score, ASA and evaluation risk of postoperative pancreatic fistula (POPF) with FRS classification. There were 2 open conversions because of vein resections, accounting for 5.4%. Standard lymphadenectomy was performed in all of 37 cases. In term of PREPARE score, major complications (Clavien - Dindo >= III) were 17.8%, 0% and 0% (5/28, 0/5 and 0/2 cases) in low risk, intermediate risk and high risk group, respectively. All of cases had ASA I or II. POPF happened 11.1% (1/9), 4.1% (1/24) and 50% (1/2) in low risk, intermediate risk and high risk group, respectively. Frozen section was needed for R0 margin. Retrieved lymph nodes was 8 - 18 with 12 lymph nodes in average. Conclusions: Indication for LPD with resectable tumors is acceptable. ASA I or II is a safe measure to select patient for LPD. FRS classification shows appropriation to evaluate risk of POPF.
Thu Ha Nguyen,Thi Lan Pham,Anh Quan Cao,Tuan Anh Nguyen,Xuan Minh Vu,Thi My Hanh Le,Van Thuan Le,Seiichi Kawahara,Dai Lam Tran 한국고분자학회 2024 Macromolecular Research Vol.32 No.4
This study describes the preparation and characterization of a green and safe membrane based on a natural polymer for metal adsorption. Natural rubber-grafted-(2-hydroxyethyl methacrylate) with a special nanostructure was synthesized by graft copolymerization of 2-hydroxyethyl methacrylate (HEMA) onto the surface of natural rubber (NR) particles using tert-butylhydroperoxide/tetraethylenepentamine as initiators. Optimal conditions for achieving high conversion and grafting efficiency were identified. Characterization of the as-synthesized samples was performed using Fourier-transform infrared spectroscopy, transmission electron microscopy, thermogravimetric analysis, tensile measurement, swelling degree determination, and cytotoxicity testing. The results revealed that HEMA formed a nanoscale matrix surrounding NR particles, which improved the tensile strength, thermal resistance, and swelling degree of the as-prepared samples. Cytotoxicity testing demonstrated that the membrane was safe for human use, as it did not exhibit toxicity to Vero cells at concentrations up to 1024 μg/mL. Furthermore, the membrane displayed a high adsorption capacity toward Fe3+ and was well described by Koble-Corrigan isotherm model and the first–second-order kinetic equation. Moreover, the membrane demonstrated excellent recyclability maintaining its adsorption ability towards Fe3+ ions over five consecutive cycles. Overall, these findings may recommend the NR-HEMA membrane as a promising candidate for metal removal applications.