Preoperative drainage using a transanal tube enables elective laparoscopic colectomy for obstructive distal colorectal cancer.

BACKGROUND AND STUDY AIMS: Acute colorectal obstruction (ACO) often accompanies colorectal cancer (CRC) and requires urgent treatment, but achieving elective laparoscopy-assisted colectomy (LAC) is difficult in this setting. The aim of the current study was to assess the clinical outcomes of a transanal tube (Dennis colorectal tube [DCT]) for CRC with ACO, focusing in particular on the impact of the DCT on subsequent elective LAC. PATIENTS AND METHODS: Among 1142 patients who underwent surgery for CRC between January 2007 and December 2011, 92 patients with ACO were identified retrospectively. Of these 92 patients, the DCT procedure was performed in 66 patients who fulfilled the indications for DCT, and these patients were included in the study. RESULTS: All 66 patients presented with complete obstruction. Technical and clinical success rates for DCT were 93.9 % and 86.4 %, respectively. Perforation after DCT occurred in 4.5 % and the mortality rate was 1.5 %. The rate of LAC was 48.5 %, and the rate of primary stoma was 13.6 %. For curative stage II/III CRC with ACO, DCT resulted in a primary stoma rate of 13.6 %, a one-stage surgery rate of 90.9 %, a LAC rate of 50.0 %, and a 3-year survival rate of 73.1 %. For stage II/III CRC cases with clinical success by DCT, the one-stage surgery rate was 97.4 % and the LAC rate was 56.4 %. CONCLUSIONS: DCT achieved a high rate of clinical success and enabled safe one-stage surgery and LAC for CRC with ACO. DCT followed by LAC is proposed as a promising non-invasive strategy for CRC with ACO.

Lam e-mode miniaturized quartz temperature sensors.

Lam e-mode is very useful for realization of a miniaturized quartz crystal resonator because its resonant frequency principally depends only on the contour dimensions. Because the heat capacitance for the miniaturized quartz crystal resonator is small and the frequency response versus temperature is very rapid, the quartz crystal resonator is useful for application in temperature sensors. In addition, because a Lam e-mode quartz crystal resonator has zero temperature coefficients, designated LQ(1) cut and LQ(2) cut, and, particularly, the resonator for LQ(1) cut has a comparatively large value of the second-order temperature coefficient beta, a Lam e-mode quartz crystal resonator can be obtained with the large first-order temperature coefficient or when beta=0. In this paper, when cut angles phi=45 degrees and theta=45 degrees , alpha has a value of 44.6x10(-6)/ degrees C in the calculation and 39.9x10(-6)/ degrees C in the experiments with beta=0; when phi=51.5 degrees and theta=45 degrees , alpha=68.1x10(-6)/ degrees C in the calculation and 62.0x10(-6)/ degrees C in the experiments with a value of beta larger than that of phi=45 degrees and theta=45 degrees . For both cut angles, the calculated frequency change vs. temperature is found to be sufficiently large and slightly larger than the measured one.