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Unexpected Complications and Safe Management in Laparoscopic Pancreaticoduodenectomy
Yuichi Nagakawa,Yatsuka Sahara,Yuichi Hosokawa,Chie Takishita,Tetsushi Nakajima,Yousuke Hijikata,Kazuhiko Kasuya,Kenji Katsumata,Akihiko Tsuchida Korean Society of Gastrointestinal Cancer 2017 Journal of digestive cancer reports Vol.5 No.1
Although laparoscopic pancreaticoduodenectomy (LPD) is considered as minimally invasive surgery, an advanced level of laparoscopic skill is still required. LPD comprises various procedures including reconstruction. Therefore, establishment of a safe approach at each step is needed. Prevention of intraoperative bleeding is the most important factor in safe completion of LPD. The establishment of effective retraction methods is also important at each site to prevent vascular injury. I also recommend the "uncinate process first" approach during initial cases of LPD, in which the branches of the inferior pancreaticoduodenal artery are dissected first, at points where they enter the uncinate process. This approach is performed at the left side of the superior mesenteric artery (SMA) before isolating the pancreatic head from the right aspect of the SMA, which allows safe dissection without bleeding. Safe and reliable reconstruction is also important to prevent postoperative complications. Laparoscopic pancreatojejunostomy requires highly skilled suturing technique. Pancreatojejunostomy through a small abdominal incision, as in hybrid-LPD, facilitates reconstruction. In LPD, the surgical view is limited. Therefore, we must carefully verify the position of the pancreaticobiliary limb. A twisted mesentery may cause severe congestion of the pancreaticobiliary limb following reconstruction, resulting in severe complications. We must secure the appropriate position of the pancreaticobiliary limb before starting reconstruction. We describe the incidence of intraoperative and postoperative complications and appropriate technique for safe performance of LPD.
Linear AC LED driver with the Multi-level Structure and Variable Current Regulator
Yuichi Noge 전력전자학회 2015 ICPE(ISPE)논문집 Vol.2015 No.6
This paper proposes a linear AC LED driver for LED lighting applications. The proposed circuit is small in size because the circuit structure consists of only semiconductors and resistors without any reactors and electrolytic capacitors. The current bypass circuit which is connected in parallel to the LED string consists of single MOSFET, single zener diode and two resistors. The MOSFET is operated in an active state by a self-bias circuit. Thus, an external controller and high voltage gate drivers are not required. The proposed circuit is experimentally validated by using a 7 W prototype. From the experimental results, the THD of input current is 2.1% and the power factor is 0.999. In addition, the simulation loss analysis demonstrates an efficiency of 87% for a 7 W prototype.
Species richness of sawfly–host plant associations at higher taxonomic levels
Yuichi Isaka,Toshiyuki SATO 한국곤충학회 2015 Entomological Research Vol.45 No.6
Insect–plant interactions are important to understanding the evolutionary mechanisms responsible for most of the diverse plant‐feeding insects. We aggregated data on sawfly–host plant associations and other resource associations from existing sources to address the following questions: (i) Is there a general correlation between host diversity and sawfly species richness? (ii) Is the pattern of host plant use consistent across sawfly lineages? and (iii) Is there a phylogenetically significant shift in species richness among sawflies? Our analysis comprised 8567 sawfly species, including 2087 species with host plant and other records. In total, there were 2126 records of host usage for sawflies, the overwhelming majority of which were sawflies using angiosperms as resources. Rosales are used by most of the species in sawfly families or subfamilies. We found that there was a strong correlation between the number of host plant orders and the species richness of sawfly families and subfamilies. To examine the points at which sawflies have experienced significant shifts in species richness, we compared sister taxon species richness. Several positive and negative shifts in species richness among sawflies were related to their range of host plant usage and specialized niche, respectively. In general, we found that most of the sawfly families and subfamilies used several orders as host plants, but mainly core eudicots, although some families or subfamilies were specialized on pteridophytes or gymnosperms.