RESUMO
Objective: To assess the feasibility and validity of the establishment of a modified channel for extraperitoneal robot-assisted laparoscopic radical prostatectomy (RARP) through single incision. METHODS: From November 2020 to January 2021, 35 cases of localized PCa were treated by extraperitoneal RARP through single incision in our center. All the operations were performed by the same surgeon, none via the multichannel port for the establishment of the channel. We recorded and analyzed the intra- and postoperative parameters, operation cost, complications, pathological findings and follow-up data. RESULTS: All the operations were successfully completed, without conversion to open surgery or additional channels, or serious postoperative complications, the time for establishing the extraperitoneal space averaging 25.4 (20.0ï¼45.0) min, the operation time 67.3 (35.0ï¼125.0) min, intraoperative blood loss 75.5 (60.0ï¼150.0) ml, time to first postoperative anal exhaust 26 (8ï¼48) h, and postoperative hospital stay 7.89 (7ï¼10) d. Postoperative pathology showed adenocarcinoma in all the cases, with Gleason score (GS) 3+3 in 9 (25.7%), GS 3+4 in 9 (25.7%), GS 4+3 in 8 (22.9%), and GS ≥ 8 in 9 (25.7%) of the cases, 23 (65.7%) in the Assuntos
Laparoscopia
, Procedimentos Cirúrgicos Robóticos
, Robótica
, Perda Sanguínea Cirúrgica
, Humanos
, Masculino
, Prostatectomia
RESUMO
BACKGROUND: Cavernous hemangioma, as a rare tumor, is difficult to differentiate from retroperitoneal lymphoma and paraganglioma. They are more difficult to excise completely through open surgery and traditional laparoscopic surgery. The study aimed to evaluate the role of DaVinci surgical system in laparoscopic resection of parapelvic cavernous hemangioma. CASE PRESENTATION: A 46-year-old female, who diagnosed as parapelvic cavernous hemangioma accompanying with thrombosis and calcification, was performed laparoscopic resection using DaVinci surgical system under general anesthesia. The patient well recovered without recurrence or spread of the lesion after operation for 3 months as well as hydronephrosis was significantly relieved. CONCLUSION: Laparoscopic resection of parapelvic cavernous hemangioma under the help of DaVinci surgical system was feasible and safe.
Assuntos
Hemangioma Cavernoso , Laparoscopia , Neoplasias Pélvicas , Neoplasias Retroperitoneais , Procedimentos Cirúrgicos Robóticos , Feminino , Hemangioma Cavernoso/diagnóstico por imagem , Hemangioma Cavernoso/cirurgia , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Neoplasias Pélvicas/diagnóstico por imagem , Neoplasias Pélvicas/cirurgia , Neoplasias Retroperitoneais/diagnóstico por imagem , Neoplasias Retroperitoneais/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Real-time monitoring of chemical reactions is still challenging as well as important to study reaction mechanisms and reaction kinetics. Herein, we demonstrated the real-time monitoring of o-phenylenediamine (OPD) oxidation on the surface of gold nanoparticles by surface-enhanced Raman spectroscopy (SERS). The oxidation mechanism and the reaction kinetics were investigated on the basis of the SERS spectrum variation and the related density functionalized theory calculation. It was shown that the oxidation of OPD in the presence of copper ions was a two-step process of the deprotonation of the amino group on the aromatic rings and the rearrangement of the electron cloud to a π-conjugated system, which may open a new door to comprehensively understand the reaction process.
RESUMO
Photocatalytic degradation of pollutants is considered a promising approach for wastewater treatment, but is hampered by low efficiency and limited understanding of degradation pathways. A novel oxygen-doped porous g-C3N4/oxygen vacancies-rich BiOCl (OCN/OVBOC) heterostructure was prepared for photocatalytic degradation of bisphenol A (BPA). The synergistic defect and doping engineering favor the formation of strong bonded interface for S-scheme mechanism. Among them, 0.3 OCN/OVBOC showed the most excellent degradation rate, which was 8 times and 4 times higher than that of pure g-C3N4 and BiOCl, respectively. This excellent performance is mainly attributed to the significantly enhanced charge separation via strong bonded interface and redox capability of the S-scheme heterojunction structure, by tuning the coordination excitation and electron localization of the catalyst via O doping and vacancies. This work provides important insights into the role of synergistic defect and doping engineering in facilitating the formation of strong bonded S-scheme heterojunction and ultimately sheds new light on the design of efficient photocatalysts.
Assuntos
Elétrons , Poluentes Ambientais , Oxigênio , PorosidadeRESUMO
TiO2/porous glass-H as composite catalysts were synthesized hydrothermally in the presence of H2O2 using porous glass microspheres as carriers. The photocatalytic-adsorptive desulfurization of model fuel by composite catalysts was investigated under UV irradiation. The structure and morphology of the composite catalysts were characterized via scanning electron microscopy (SEM), N2 adsorption, X-ray diffraction (XRD) and ultraviolet-visible spectroscopy (UV-vis). The results showed that TiO2/porous glass-H exhibited a significantly enhanced photocatalytic-adsorption desulfurization performance due to its enhanced surface area, highly enhanced light absorption, and reduced recombination of photogenerated electron pairs compared with TiO2/porous glass synthesized in the absence of H2O2. The optimized TiO2 loading was 20% and the reaction temperature was 303.15 K, which could achieve almost 100% sulfur removal when 0.1 g catalyst was applied to a sulfide concentration of 300 mg L-1. Based on the kinetic fitting of the obtained data, it was found that the rate-controlling step of sulfide adsorption on the catalyst was a molecular diffusion process and the adsorption intensity and adsorption capacity of the composite catalyst were significantly improved compared with the porous glass-H in the adsorption thermodynamic curve, and ΔS, ΔH and ΔG of the adsorption process were calculated. In addition, TiO2/porous glass-H could be regenerated via simple heat treatment, exhibiting similar efficiency as the original TiO2/porous glass-H after three regeneration cycles.