ABSTRACT
Laparoscopic pancreaticoduodenectomy (LPD) is a classic surgical method for diseases, such as tumors at the lower end of the common bile duct, pancreatic head, and benign and malignant tumors of the duodenum. Postoperative pancreatic fistula (POPF) is one of the most serious complications of LPD. To reduce the incidence of grade B or C POPF and other complications after LPD, we applied a split pancreatic duct stent combined with the characteristics of internal and external stent drainage. Between September 2020 and September 2022,12 patients underwent placement of the Split pancreatic duct stent during LPD. Data on basic characteristics of patients, surgical related indicators and postoperative POPF incidence were collected and analyzed. The results showed that the average operation time was 294.2 ± 36 minutes, average time for pancreaticojejunostomy was 35.9 ± 4.1 minutes, and average estimated blood loss was 204.2 ± 58.2 mL. Biochemical leakage occurred in 2 patients (16.7%), whereas no grade B or C POPF, 1 case (8.3%) had postoperative bleeding, and no death occurred within 30 days after the operation. Preliminary experience shows that the split pancreatic duct stent can effectively reduce the incidence of complications after LPD, especially grade B or C POPF.
Subject(s)
Laparoscopy , Pancreaticoduodenectomy , Humans , Pancreaticoduodenectomy/adverse effects , Pancreaticoduodenectomy/methods , Pancreatic Ducts/surgery , Pancreatic Ducts/pathology , Pancreas/surgery , Pancreaticojejunostomy/adverse effects , Pancreaticojejunostomy/methods , Pancreatic Fistula/epidemiology , Pancreatic Fistula/etiology , Pancreatic Fistula/prevention & control , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Postoperative Complications/prevention & control , Laparoscopy/adverse effects , Stents/adverse effects , Retrospective StudiesABSTRACT
Herein, a facile method for the preparation of an acrylic resin-based superhydrophobic coating is provided. Firstly, ZnO nanoparticles were modified with silane to obtain hydrophobic ZnO, which was then homogeneously blended with acrylic resin. Subsequently, the mixture was sprayed on an aluminum sheet to form a cured coating. The surface composition and morphology of the coating were characterized using X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), and scanning electron microscopy (SEM). The hydrophobicity, wear resistance, and antibacterial properties of the prepared samples were tested. The optimized hydrophobicity was achieved with 10 wt% modification agent and resin-to-ZnO mass ratio of 1:4, exhibiting contact and sliding angles of 168.11° and 7.2°, respectively. Wear resistance was insufficient with a low resin content, while it grew with the increase in the resin content. However, when the resin content was excessively high, the hydrophobicity was reduced because the resin could wrap the modified ZnO nanoparticles and decrease the number of hydrophobic groups on the surface. Compared with the pure acrylic resin coating, the ZnO nanoparticle/acrylic resin superhydrophobic coating demonstrated a significant enhancement in the antibacterial properties.
