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Background and Objectives. The feasibility and safety of single-port laparoscopic surgery for left lateral liver lobectomy are largely unknown. This study is aimed at comparing the effectiveness and safety between single-port laparoscopic (SPL) and conventional multiport laparoscopic (CL) surgeries for hepatic left lateral sectionectomy. Methods. A total of 65 patients receiving laparoscopic hepatic left lateral sectionectomy between January 2008 and July 2015 were included and divided into the SPL group (n=40) and the CL group (n=25). Results. There was no significant difference in the operative time, estimated intraoperative blood loss, length of hospital stay, and incidences of postoperative complications (biliary leakage, hemorrhage, and contusion at incision) between groups (all P>0.05). However, the SPL group had a significantly lower VAS pain score (at 24 h but not 7 days postoperation) and higher cosmetic satisfaction scores (at both 2 months and 6 months postoperation) than the CL group (all P

The correlation between the stages of pyrazine synthesis and the microbial flora during the making of Nongxiang Daqu was analyzed, and the effect of microbial interactions on the synthesis of pyrazine during Daqu making was explored. Headspace solid phase microextraction (HS-SPME) combined with gas chromatography-mass spectrometry (GC-MS) and high-throughput sequencing were used for the analysis of the changes in pyrazine contents and the microbial community structure during Daqu making, respectively. Principal component analysis (PCA) and linear discriminant analysis (LDA) were used for finding out differential microorganisms. The correlation between differential microorganisms and pyrazine metabolites was evaluated using Spearman’s correlation coefficient, and a correlation network between these pyrazine metabolism-related microorganisms and the microbial flora of Nongxiangxing Daqu was constructed. The results showed that nine pyrazine metabolites were detected during Nongxiangxing Daqu fermentation, and there were significant differences in the number and types of pyrazine metabolites between the stages of 1–5 and 7–28 days. The microbial community succession could be divided into two stages: A (1–5 days) and B (7–28 days). At stage A, the differential fungi were mainly Kodamae and Candida, and the differential bacteria were mainly Kosakonia, Pantoea and Methylophilus; at stage B, the differential fungi were mainly Thermoascus and Thermomyces, and the differential bacteria were mainly Thermoactinomyces and Saccharopolyspora. The synthesis of pyrazine metabolites during Nongxiangxing Daqu fermentation was positively correlated Cladosporium and Lichtheimia, but negatively correlated with Thermomyces and Fusarium. These pyrazine metabolism-related microorganisms were positively correlated with most other Nongxiangxing Daqu microorganisms, but showed negative correlation with only a few microorganisms, such as Thermomyces. The results of this study provide a theoretical basis for the analysis of the mechanism of microbial synthesis of pyrazine metabolites in Nongxiangxing Daqu.

Aim: To establish a reversible porcine model of acute liver failure (ALF) and treat it with an artificial liver system., Methods: Sixteen pigs weighing 30-35 kg were chosen and administered with acetaminophen (APAP) to induce ALF. ALF pigs were then randomly assigned to either an experimental group ( n = 11), in which a treatment procedure was performed, or a control group ( n = 5). Treatment was started 20 h after APAP administration and continued for 8 h. Clinical manifestations of all animals, including liver and kidney functions, serum biochemical parameters and survival times were analyzed., Results: Twenty hours after APAP administration, the levels of serum aspartate aminotransferase, total bilirubin, creatinine and ammonia were significantly increased, while albumin levels were decreased ( P < 0.05). Prothrombin time was found to be extended with progression of ALF. After continuous treatment for 8 h (at 28 h), aspartate aminotransferase, total bilirubin, creatinine, and ammonia showed a decrease in comparison with the control group ( P < 0.05). A cross-section of livers revealed signs of vacuolar degeneration, nuclear fragmentation and dissolution. Concerning survival, porcine models in the treatment group survived for longer times with artificial liver system treatment ( P < 0.05)., Conclusion: This model is reproducible and allows for quantitative evaluation of new liver systems, such as a bioartificial liver. The artificial liver system (ZHJ-3) is safe and effective for the APAP-induced porcine ALF model., Competing Interests: Conflict-of-interest statement: The authors declare no conflicts of interest.

Aim: To compare the characteristics of two single-incision methods, and conventional laparoscopy in cholecystectomy, and demonstrate the safety and feasibility., Methods: Three hundred patients with gallstones or gallbladder polyps were admitted to two clinical centers from January 2013 to January 2014 and were randomized into three groups of 100: single-incision three-device group, X-Cone group, and conventional group. The operative time, intraoperative blood loss, complications, postoperative pain, cosmetic score, length of hospitalization, and hospital costs were compared, with a follow-up duration of 1 mo., Results: A total of 142 males (47%) and 158 females (53%) were enrolled in this study. The population characteristics of these three groups is no significant differences exist in terms of age, sex, body mass index and American Society of Anesthesiology (P > 0.05). In results, there were no significant differences in blood loss, length of hospitalization, postoperative complications.The operative time in X-Cone group was significantly longer than other groups.There were significant differences in postoperative pain scores and cosmetic scores at diffent times after surgery (P < 0.05)., Conclusion: This study shows that this two single-incision methods are safe and feasible. Both methods are superior to the conventional procedure in cosmetic and pain scores.