Retrospective cohort study of laparoscopic ICG-Guided Lymphadenectomy in gastric cancer from a Western country center.

BACKGROUND: Indocyanine green (ICG) guided lymphadenectomy has been proposed has a technique to improve the lymphadenectomy of patients with gastric cancer. Nevertheless, experience with this procedure is scarce in Western countries. METHODS: A retrospective analytic study in a tertiary hospital in Spain was performed, comparing patients who underwent laparoscopic gastrectomy with (ICG cohort) and without (historic cohort) ICG guided lymphadenectomy. RESULTS: Thirty four patients were included (17 in each group). Although the number of positive nodes was similar in both groups (0.0 in the ICG cohort vs. 2 in the historic cohort, p = 0.119), the number of lymph nodes removed was higher in the ICG cohort (42.0 vs 28.0, p = 0.040). In the ICG cohort, more lymph nodes were positive for adenocarcinoma in the group of nodes that were positive for IGC (10.6% of the IGC + nodes vs. 1.9% in the ICG - nodes, p < 0.001). CONCLUSIONS: ICG lymphadenectomy is a promising procedure that could improve the lymphadenectomy of patients with gastric cancer. ICG lymphadenectomy could be used to increase the number of lymph nodes removed in patients with a high-risk of nodal invasion or it could be used to reduce the surgical aggressiveness in fragile patients with a low-risk of nodal invasion.

Development and optimization of a quantitative analysis of main odorants causing off flavours in cork stoppers using headspace solid-phase microextraction gas chromatography tandem mass spectrometry.

A simple and sensitive method was developed and validated to simultaneously separate and determine the 2-Methoxy-3,5-dimethylpyrazine, 2-Isopropyl-3-methoxypyrazine, guaiacol, 2-Isobutyl-3-methoxypyrazine, 2-Methylisoborneol, geosmin, 2,4,6-Trichloroanisole, 2,3,4,6-Tetrachloroanisole, 2,4,6-Tribromoanisole and Pentachloroanisole in cork stoppers via headspace solid-phase microextraction (HS-SPME) coupled with gas chromatography tandem mass spectrometry (GC-MS/MS). The influence of the fibre coating used, the extraction times and temperatures, the sodium chloride additions and the desorption temperatures were investigated. Once done, the optimial HS-SPME conditions established were divinylbenzene/carboxenpolydimethylsiloxane/polydimethylsiloxane (DVB/CAR/PDMS) fibres, a 50°C extraction temperature, 60-min extraction time, an ionic strength of 3-g sodium chlorid and a 290°C desorption temperature. The method showed a good linearity (R2 ≥ 0.994) within the tested range (from 0.1 to 50 ng L-1 ) for all the compounds. Using TCA-d10 and MIB-d3 as internal standards the precision, expressed as repeatability and reproducibility RSD, was <10% in both. Note that the limits of quantifications (LOQs) are below the sensory threshold levels for such compounds in water and wine. Good recoveries were obtained for cork macerates (from 100.4% to 126%) and when compared with other reported methods using HS-SPME in water and cork stopper samples, the present method had more analytes with the lowest limit of detection for most of the targeted compounds, along with good precision and recovery.

Cork as a sustainable carbon source for nature-based solutions treating hydroponic wastewaters - Preliminary batch studies.

Reusing by-products is an important strategy to ensure the preservation of natural capital and climate change mitigation. This study aimed at evaluating the potential of cork granulates, a by-product of winery industry, as an organic carbon (OC) source for the treatment of hydroponic wastewaters. First, chemical characterization was performed and discussed. Secondly, batch studies were performed using synthetic hydroponic wastewater to understand the role of particle size (PS), pH and contact time (CT) on the release of OC. The suberin is the major compound, representing >50%. It was noticed that a variance on the content of suberin across species, within the same species and depending on the extraction part (belly, cork and back) could be expected. >60% of the sample is composed by carbon while <1% was nitrogen (high C:N ratio), indicating a low risk of releasing organic nitrogen. The statistical results suggested that the main effect of PS on the release of OC is greater than both, CT and pH. The chemical release of OC gets slower with time, being this effect greater as the PS increase. Moreover, estimations showed that using the 4 mm PS, the amount of water treated would be twice the amount if the 8 mm PS had been used. The PS seems to play an important role at design nature-based solutions (NBS) focused on denitrification. The surface response methodology indicates a significant negative interaction between CT and PS suggesting that the mathematical model could be used for further optimization studies. The reuse of organic by-products as filter media seems to be an economic and environmentally friendly alternative to enhance denitrification in NBS, while preserving natural capital. However, further real scale and long-term experiments are needed to validate cork's potential as an "internal" OC source for NBS.

Fungal biodegradation of anthracene-polluted cork: A comparative study.

The efficiency of cork waste in adsorbing aqueous polycyclic aromatic hydrocarbons (PAHs) has been previously reported. Biodegradation of contaminated cork using filamentous fungi could be a good alternative for detoxifying cork to facilitate its final processing. For this purpose, the degradation efficiency of anthracene by three ligninolytic white-rot fungi (Phanerochaete chrysosporium, Irpex lacteus and Pleurotus ostreatus) and three non-ligninolytic fungi which are found in the cork itself (Aspergillus niger, Penicillium simplicissimum and Mucor racemosus) are compared. Anthracene degradation by all fungi was examined in solid-phase cultures after 0, 16, 30 and 61 days. The degradation products of anthracene by P. simplicissimum and I. lacteus were also identified by GC-MS and a metabolic pathway was proposed for P. simplicissimum. Results show that all the fungi tested degraded anthracene. After 61 days of incubation, approximately 86%, 40%, and 38% of the initial concentration of anthracene (i.e., 100 µM) was degraded by P. simplicissimum, P. chrysosporium and I. lacteus, respectively. The rest of the fungi degraded anthracene to a lesser extent (<30%). As a final remark, the results obtained in this study indicate that P. simplicissimum, a non-ligninolytic fungi characteristic of cork itself, could be used as an efficient degrader of PAH-contaminated cork.

Concentrations of organochlorine pesticides and 2,4,6-trichloroanisole in cork bark.

Organochlorine pesticides are persistent lipophilic organic pollutants and tend to accumulate in growing plants. During growth, cork is in contact with the open air for long periods (9-12 years). Owing to the previous widespread use of organochlorine pesticides and their high persistence in the environment, there is a risk that residues of such pesticides may be present in cork. In this study, the concentrations of 14 organochlorine pesticides-all of which are indicators of environmental pollution-were analyzed in cork bark samples from three regions in Spain and one in Portugal. In addition, the concentrations of 2,4,6-trichlorophenol (TCP) and 2,4,6-trichloroanisole (TCA) were also analyzed. Our results show only very low concentrations of lindane, γ-HCH (<2.6 ng g(-1)) and its byproducts α-HCH (<3.5 ng g(-1)) and ß-HCH (<0.6 ng g(-1)). Among the DDT and its metabolites, only two were found: p,p'-DDT was found in a cork sample from Extremadura (0.1 ng g(-1)) and p,p'-DDE was present at a maximum concentration of 2.9 ng g(-1) in a cork sample from Castile-La Mancha. However, all concentrations were well below the legal limit established by Regulation (EC) No. 396/2005 (10 ng g(-1) in foodstuffs). We can conclude, therefore, that the cork samples we studied complied with food safety standards.

The use of cork waste as a biosorbent for persistent organic pollutants-Study of adsorption/desorption of polycyclic aromatic hydrocarbons.

The aim of this study is to determine the sorption-desorption behavior of a mixture of thirteen aqueous PAHs on cork waste at a particle of size 0.25-0.42 mm obtained from the remains of cork strips. The final purpose is to use this natural adsorbent as an alternative to activated carbon in an innovative approach for the removal of this class of toxic compounds, and significantly reduce the regeneration costs of the process. The chemical composition of the selected cork revealed that suberin (38.5 %) and lignin (31.6 %) were the main structural components of the cell wall. The high efficiency of cork as a biosorbent of PAHs is shown by the fact that just over 80 % of adsorption occurred during the first two minutes of contact time. Both Freundlich's and Langmuir's isotherms gave good fits to the sorption process. The highest adsorption affinities were exhibited for pyrene, anthracene, and phenanthrene. Desorption studies indicate a high degree of irreversibility for all PAHs, and especially so in the case of high molecular PAHs. The correlation with K(F) and low molecular weight PAHs was the most significant. The quantity of cork required to reduce water pollution was estimated to be between 3 and 15 times less than the quantities required in the case of other materials (i.e. aspen wood and leonardite). This study demonstrates for the first time that cork is a potential biosorbent for PAHs and may have relevance in the future treatment of PAH-contaminated waters.