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3篇 您的检索式:作者名="Chang Seok Ko"
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1Totally laparoscopic total gastrectomy using the modified overlap method and conventional open total gastrectomy:A comparative study显示文摘BACKGROUND Although several methods of totally laparoscopic total gastrectomy(TLTG)have been reported.The best anastomosis technique for LTG has not been established.AIM To investigate the effectiveness and surgical outcomes of TLTG using the modified overlap method compared with open total gastrectomy(OTG)using the circular stapled method.METHODS We performed 151 and 131 surgeries using TLTG with the modified overlap method and OTG for gastric cancer between March 2012 and December 2018.Surgical and oncological outcomes were compared between groups using propensity score matching.In addition,we analyzed the risk factors associated with postoperative complications.RESULTS Patients who underwent TLTG were discharged earlier than those who underwent OTG[TLTG(9.62±5.32)vs OTG(13.51±10.67),P<0.05].Time to first flatus and soft diet were significantly shorter in TLTG group.The pain scores at all postoperative periods and administration of opioids were significantly lower in the TLTG group than in the OTG group.No significant difference in early,late and esophagojejunostomy(EJ)-related complications or 5-year recurrence free and overall survival between groups.Multivariate analysis demonstrated that body mass index[odds ratio(OR),1.824;95%confidence interval(CI):1.029-3.234,P=0.040]and American Society of Anaesthesiologists(ASA)score(OR,3.154;95%CI:1.084-9.174,P=0.035)were independent risk factors of early complications.Additionally,age was associated with≥3 Clavien-Dindo classification and EJrelated complications.CONCLUSION Although TLTG with the modified overlap method showed similar complication rate and oncological outcome with OTG,it yields lower pain score,earlier bowel recovery,and discharge.Surgeons should perform total gastrectomy cautiously and delicately in patients with obesity,high ASA scores,and older ages.Chang Seok Ko Nam Ryong Choi Byung Sik Kim Jeong Hwan Yook Min-Ju Kim Beom Su Kim 2021World Journal of Gastroenterology2021,27,18:8
2A case of ascending colon variceal bleeding treated with venous coil embolization显示文摘A 38-year-old female with a history of alcoholic liver cirrhosis visited our hospital with a massive hematochezia.An esophagogastroduodenoscopy did not demonstrate any bleeding source,and a colonoscopy showed a massive hemorrhage in the ascending colon but without an obvious focus.The source of the bleeding could not be found with a mesenteric artery angiography.We performed an enhanced abdominal computed tomography,which revealed a distal ascending colonic varix,and assumed that the varix was the source of the bleeding.We performed a venous coil embolization and histoacryl injection to obliterate the colon varix.The intervention appeared to be successful because the vital signs and hemoglobin laboratory data remained stable and because the hematochezia was no longer observed.We report here on a rare case of colonic variceal bleeding that was treated with venous coil embolization.Bong Suk Ko Woo Tae Kim Su Sun Chang Eun Hye Kim Seung Woo Lee Won Seok Park Yeon Soo Kim Soon Woo Nam Dong Soo Lee Ji Chang Kim Sang Bum Kang 2013World Journal of Gastroenterology2013,19,2:4
3Joining dissimilar metal of Ti and CoCrMo using directed energy deposition显示文摘We report laser cladding of pure titanium on a CoCrMo alloy using directed energy deposition.Using electron microscopy,the microstructural evolution upon varying the process parameters,especially laser power and powder feed rate,was investigated in relation to crack formation.Cladding layers showing dilution rates of more than 5%contained cracks due to the formation of the brittle Co_(2)Ti intermetallic phase.The observed cracks could be ascribed to a mismatch in thermal expansion and a resulting stress of more than 440 MPa acting on the Co_(2)Ti phase,as determined by density functional theory and nanoindentation.Furthermore,an excess laser energy caused chemical inhomogeneity and unmelted Ti powder particles,while a deficient laser energy resulted in a lack of fusion.Neither cracks nor partially melted powders were observed for a powder feed rate of 3 g/min and a laser power of 225–300 W,for which the dilution rate was minimized to less than 5%.For such samples,the cladding layers comprised pureα-Ti and a uniform CoT i interface with Co_(2)Ti islands.Vioni Dwi Sartika Won Seok Choi Gwanghyo Choi Jaewook Han Sung-Jin Chang Won-Seok Ko Blazej Grabowski Pyuck-Pa Choi 2022Journal of Materials Science & Technology2022,,16:0
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