http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Swapnil Patel,Sriniket Raghavan,Amar Prem,Mayank Tripathi,Saumya Chopra,Durgatosh Pandey 대한종양외과학회 2021 대한임상종양학회 학술대회지 Vol.2021 No.6
Background/Aims Laparoscopic approach for total colectomy is acceptable ontologically if executed with a complete mesocolic excision and central vascular ligation to ensure radical D3 lymphadenectomy. Methods This is an illustrative video vignette showing a step by step approach to total colectomy with complete mesocolic excision with central vascular ligation. Our patient was a 45yr gentleman with adenocarcinoma of the transverse colon extending to splenic flexure and descending colon with synchronous polyps in right colon on colonoscopy. Staging computed tomography scan did not show any distant metastases. Results Total colectomy was done using laparoscopic approach with a complete mesocolic excision. Stapled ileo-rectal anastomosis was performed. Blood loss was 200mL and intra-operative period was uneventful. Post-operative period was uneventful and patient was discharged on day 6. Final histopathology revealed a moderately differentiated adenocarcinoma of transverse colon and left colon (pT3N1, 0/56 nodes) with dysplastic polyps in right colon. Patient was referred to Medical Oncology for adjuvant chemotherapy. Conclusions This video vignette highlights step by step conduct of a technically challenging procedure using laparoscopy while ensuring oncological adequacy.
Choudhary Swapnil,Upadhyay Ganesh,Patel Bharat,Naresh,Jain Mukesh 한국농업기계학회 2021 바이오시스템공학 Vol.46 No.4
Purpose To assess the operational energy requirement (OER) and tillage performance index (TPI) of four different active tillage treatments and identification of the best efficient tillage practice among them to achieve an alternative to the conventional practice T1 (1×Cultivator+2×Offset disc harrow), which involves only purely passive type of tillage tools. Methods The active tillage treatments considered were as follows: T2 (1×Combined offset disc harrow), T3 (1×Cultivator+ 1×Single rotor type rotavator), T4 (1×Double rotor type rotavator), and T5 (1×Power harrow). Each implement in the respective treatment was operated at their best suitable forward speed and rotor rpm. Results Compared to the conventional practice T1, the amount of fuel saved per hectare in tillage practices, T2, T4, and T5, was 49.8%, 17.9%, and 20.3%, respectively. However, tillage treatment T3 was found to consume 6.9% more fuel. Compared to T1, the amount of time saved by T2, T3, T4, and T5 tillage practices was found to be 61.1%, 9.54%, 40.6%, and 44.6%, respectively. The maximum OER of 1445.32 MJ ha−1 was observed in T3 followed by 1360.40, 1105.86, 1085.86, and 681.36 MJ ha−1 in T1, T4, T5, and T2, respectively. Further, compared to T1, the TPI for tillage treatments, T2 and T4, was found to be higher by 74.07% and 133.33%, respectively. However, the TPI for tillage treatment T3 was found to be lower by 88.88%. Conclusions Active tillage implements helped in time and fuel-saving in seedbed preparation. The maximum percentage of operational energy was consumed in the form of fuel energy. The front active and rear passive configuration of combined offset disc harrow was found to be the most effective among all the tested active tillage implements in terms of both operational energy and tillage performance criteria.
Shravan Nadkarni,Shraddha Patkar,Rajgopal Acharya,Aekta Shah,Swapnil Patel,Amir Parray,Mahesh Goel 한국간담췌외과학회 2020 Annals of hepato-biliary-pancreatic surgery Vol.24 No.1
Hepatocellular carcinoma, a disease of the developing world, is known to present with extrahepatic metastases. Most common site being the lungs, it is not uncommon for metastases to present at unusual sites like the rectum, spleen and the diaphragm, among others. Metastases to the oral cavity is rare, with the most common primaries being lung, breast and the kidney. Metastases of a hepatocellular carcinoma to the oral cavity is a rare entity with extremely limited data in literature. We present one such unique case of oral cavity metastases from a hepatocellular carcinoma who presented to the Division of Head and Neck Oncology services of our hospital with a large oral cavity lesion, on subsequent workup of which, a hepatocellular carcinoma was identified. Awareness of this possibility can aid in accurate diagnosis and early management of a condition associated with an advanced stage at presentation and poorer prognosis.