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Background: In recent years, indocyanine green fluorescence lymphography has been introduced for lymphatic mapping in gastric cancer surgery. The aim of this study was to investigate the efficacy of ICGFL in lymph node dissection during minimally invasive surgery for gastric cancer. Methods: A systematic review of electronic databases including PubMed, Embase, Web of Science, the Cochrane Library, and China National Knowledge Infrastructure was performed from the inception to January 2021 for all studies comparing ICGFL with non-ICGFL in GC patients undergoing minimal access gastrectomy. The primary outcome was the total number of harvested lymph nodes. The secondary endpoints were the number of metastatic LNs, operative time, estimated blood loss, and postoperative complications. The registration number of this protocol is PROSPERO CRD42020203443. Results: A total of 13 studies including 1882 participants were included. In this meta-analysis, the use of ICGFL was associated with a higher number of harvested LNs (40.33 vs. 33.40; MD = 6.93; 95%CI: 4.28 to 9.58; P< 0.0001; I2= 86%). No significant difference was found between the ICGFL and control groups in terms of metastatic LNs (2.63 vs. 2.42; MD = 0.21; 95%CI: −0.46 to 0.87; P= 0.54; I2= 0%). In addition, the use of ICGFL could be safely performed without increasing the operative time (P= 0.49), estimated blood loss (P= 0.26) and postoperative complications (P= 0.54). Conclusion: The use of ICGFL may be a useful tool facilitating complete lymph node dissection during minimally invasive GC resection. However, more high-quality RCTs with large sample size are needed to validate this issue.

Background: Suprapancreatic lymphadenectomy is the essence of D2 radical gastric cancer surgery. The present study aimed to describe clockwise modularized laparoscopic lymphadenectomy in the suprapancreatic area. Methods: The data from gastric cancer patients who underwent surgical treatment from September 2016 to December 2018 were collected. Patients were divided into clockwise modularized lymphadenectomy (CML) and traditional open gastrectomy (OG) groups according to the surgical treatment strategy. The propensity score matching method was utilized to balance the baseline characteristics between the two groups. Results: Finally, 551 gastric cancer patients were included in the present study. Following propensity score matching, 106 pairs of patients in the CML group and OG group were included in the final analysis. The CML group had more total examined lymph nodes (36, IQR 28–44.74 vs. 29, IQR 29–39.5, p?=?0.002) and no. 9 station nodes (2, IQR 1–5 vs. 2, IQR 1–3, p?=?0.007) than the OG group. There was less intraoperative blood loss (30, IQR 20–80 ml vs. 80, IQR 50–80 ml, p?<?0.001) and a longer surgical duration (262.5 min, IQR 220–303.25 min vs. 232, IQR 220–255 min, p?<?0.001) in the CML group than in the OG group. The incidence of postoperative complications (19.8% vs. 16.0%, p?=?0.591) and postoperative hospital stay (8, IQR 7–9 days vs. 8, IQR 7–9 days, p?=?0.452) were comparable between the CML and OG groups. Conclusion: Laparoscopic lymphadenectomy for gastric cancer surgery is technically demanding. Clockwise modularized laparoscopic lymphadenectomy in the suprapancreatic area can attain similar effects as traditional open surgery and without an increase in postoperative adverse events.

The preoperative work-up has limitations on finding peritoneal dissemination (PD) in gastric cancer patients. Laparoscopic exploration (LE) can discover radiographically occult PD, obtain accurate stage and avert futile laparotomy. The aim of our study was to introduce “Four-Step Procedure” LE in West China Hospital and further evaluate its safety and feasibility. We conducted a retrospective analysis on 165 patients from July 2016 to December 2017 who underwent “Four-Step Procedure” LE in gastrointestinal surgery department of West China Hospital. All the patients were diagnosed with gastric adenocarcinoma without explicit distant metastasis through Computed Tomography and/or Gastrointestinal Ultrasonography. Peritoneal lavage cytological examination (CY) was routinely performed during LE in our research. The “Four-Step” technical process of LE was introduced comprehensively. The clinicopathologic features and the presence of PD or CY at LE were analyzed, and the stratified analysis by cT and cN stages on the proportion of P1 and/or CY1 was also reported in this study. Total of 165 patients accepted LE in our study, among these patients: 27 (16.4%) patients with P1 and/or CY1: 19 (11.5%) patients were found PD (P1), 17 (10.3%) patients with positive cytological examination (CY1) and 9 (3.6%) patients with P1Cy1. The stratified analysis by cT stage indicated that there was no P1 and/or Cy1 in cT1–cT2 stages, 1 (2.7%) patient with P1 and 1 (2.7%) with Cy1 in cT3 stage, 18 (20.0%) patients with P1 and 16 (17.8%) with Cy1 in cT4 stage. After LE, there were 74 (44.8%) patients underwent laparoscopic assistant gastrectomy, 25 (15.2%) patients with open gastrectomy, 50 (30.3%) patients with neoadjuvant chemotherapy and 16 (9.7%) patients with palliative chemotherapy and/or conversion therapy. “Four-Step Procedure” LE is reliable and feasible for gastric cancer. From our study, LE has unique superiority on ascertaining PD and cytological examination and LE should be recommended in cT4 stage gastric cancer before resection.

In this paper, an energy-efficient multicast routing algorithm in multi-hop wireless networks is proposed aiming at new generation wireless communications. Different from the previous methods, this paper targets maximizing the energy efficiency of networks. In order to get the optimal energy efficiency to build the network multicast route, our proposed method tries to maximize the network throughput and minimize the network energy consumption by exploiting network coding and sleeping scheme. Simulation results show that the proposed algorithm has better energy efficiency and performance improvements comparing with the existing methods.

This paper proposes an energy-efficient model to overcome the energy-efficient problem in large-scale IP networks, based on QoS constraints. To characterize network energy consumption, we present a link energy consumption model based on the sleep and speed scaling mechanisms. If there is no traffic on a link, let it sleep, or activate it and divide its energy consumption into base energy consumption and traffic energy consumption. And then according to the link energy consumption model, we can build our energy-efficient model to improve the network energy efficiency. Finally, simulation results show that our model can significantly improve the network energy efficiency.

This paper presents a detection algorithm for anomaly network traffic, which is based on spectral kurtosis analysis. Firstly, we turn network traffic into time-frequency signals at different scales. These time-frequency signals hold the more detailed nature corresponding to different scales. Secondly, the time-frequency signals at different scales are transformed into a series of new time signals by time-frequency analysis theory. These new time signals hold obvious narrowband nature and embody the local properties of network traffic. Thirdly, we calculate the spectral kurtosis values of the new time signals and then perform the feature extractions. As a result, the abnormal network traffic can be correctly identified. Simulation results show that our algorithm is feasible and promising.

Following the appeal of the World Health Assembly for national cancer plans and programmes, the Chinese Ministry of Health issued governmental outlines of the National Cancer Prevention and Control Programme (2004–10). This study aimed to evaluate the efficacy of that programme in mainland China.

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A minimum of 15 lymph nodes (LNs) has been recommended as an adequate number for radical gastrectomy for gastric cancer (GC). This study aimed to investigate whether the harvesting of at least 25 LNs was a better criterion for stage N2–3 GC based on the 10-year experience of a high-volume hospital.

This study was aimed to evaluate the survival benefit and safety of No. 10 lymphadenectomy for gastric cancer patients with total gastrectomy.

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