Search

Totally laparoscopic total gastrectomy has been developed with difficulty in intracorporeal esophagojejunostomy. Although mechanical stapling has been widely used for intracorporeal esophagojejunostomy, manual suture holds great promise with the emergence of high-resolution 3D vision and robotic surgery. After exploration of how to improve the safety and efficiency of intracorporeal suture for esophagojejunostomy, we recommended the technique of single-layer running "trapezoid-shaped" suture. The cost-effectiveness was analyzed by comparing with conventional mechanical stapling.The study retrospectively reviewed the patients undergoing laparoscopic gastrectomy for gastric cancer from January 2010 to December 2021. The patients were divided into two cohorts based on the methods of intracorporeal esophagojejunostomy: manual suture versus stapling suture. Propensity score matching was performed to match patients from the two cohorts at a ratio of 1:1. Then group comparison was made to determine whether manual suture was non-inferior to stapling suture in terms of operation time, anastomotic complications, postoperative hospital stay, and surgical cost.The study included 582 patients with laparoscopic total gastrectomy. The manual and stapling suture for esophagojejunostomy were performed in 50 and 532 patients, respectively. In manual suture cohort, the median time for the whole operation and digestive tract reconstruction were 300 min and 110 min. There was no anastomotic bleeding and stenosis but two cases of anastomotic leak which occurred at 3 days after surgery. The median length of postoperative hospital stay was 11 days. After propensity score matching, group comparison yielded two variables with statistical significance: time for digestive tract reconstruction and surgery cost. The manual suture cohort spent less money but more time for esophagojejunostomy. Intriguingly, the learning curve of manual suture revealed that the time for digestive tract reconstruction was declined with accumulated number of operations.Laparoscopic single-layer running "trapezoid-shaped" suture appears safe and cost-effective for intracorporeal esophagojejunostomy after total gastrectomy. Although the concern remains about prolonged operation time for beginners of performing the suture method, adequate practice is expected to shorten the operation time based on our learning curve analysis.

Hydrogen and methane have been regarded as the main energy for future. In recent years, membrane technology has developed to be an attractive technology to separate them. In this paper, porous anodic alumina membranes at different thickness were prepared for separation of hydrogen and methane. The thickness varied from about 77 to 250 μm, moreover, the SEM (Scanning Electron Microscopy) images show a good linear relationship between the thickness (y) and anodizing time (x), with the fitting being y = 22.56x - 36.082. Gas permeance and separation index for hydrogen and methane were measured at different conditions, such as thickness and temperature. With the thickness increased, the permeances of two gases were decreased quickly but separation index vice versa. In this research, the actual separation index changed from 1.9 to 3.2.

CO2 emissions have serious impact on the world economy, especially at high-concentration. Green algae are known to have a tolerance to high CO2 level. In this paper, the rate of CO2 fixation using Chlorella Pyrenoidosa was analyzed in different environments. 1) Chlorella Pyrenoidosa fixed CO2 slowly in air, while this alga could rapidly grow in high-concentration CO2 until CO2 level was beyond 10%. At 25% CO2, the rate of CO2 fixation was lower than that at 10% CO2, but still 1.18 times as higher as in air. 2) At lower initial inoculation density of Chlorella Pyrenoidosa, its growth rate was relatively high but the rate of CO2 fixation was low. When initial inoculation density beyond 0.187×108cells/ml, the average rate of CO2 fixation was ranged from 2.786 gCO2/L·d to 2.847 gCO2/L·d. 3) During the five days, the average rate of CO2 fixation was 3.044 gCO2/L·d in NaNO3 resource. When NH4Cl or NaNO2 is regarded as N resource, the rate of CO2 fixation was almost neglectable.