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Takeshi Takahara Go Wakabayashi Hiroyuki Nitta Yasushi Hasegawa Hirokatsu Katagiri Daiki Takeda Kenji Makabe Akira Sasaki 《肝胆外科与营养》2015,4(6):398-405
Background
In a statement by the second International Consensus Conference for Laparoscopic Liver Resection (LLR), minor LLR was confirmed to be a standard surgical practice, as it has become adopted by an increasing proportion of surgeons. However, it is unclear whether this applies to the more complex group of patients suffering from cirrhosis. Therefore, the aim of this retrospective study was to compare the feasibility and safety of LLR for hepatocellular carcinoma (HCC) between non-liver cirrhosis (NLC) patients and liver cirrhosis (LC) patients at a single high-volume laparoscopy center.Methods
From the beginning of 2000 to the end of 2013, open liver resection (OLR) was performed in 99 HCC patients, and LLR was in 118. The HCC patients who underwent LLR were divided into NLC-LLR (n=60) and LC-LLR (n=58) groups, and we compare the short-term outcomes between them.Results
There was no significant difference in the incidence of blood loss and transfusion requirements between the NLC-LLR group and the LC-LLR group, although wedge resection was mainly performed in the LC-LLR group. There was no significant difference in the complication rate between the two groups, and the remarkable finding was that there was a significantly lower incidence of postoperative ascites in the LC-LLR group than in the NLC-LLR group.Conclusions
According to our experience, it appears that LLR for selected HCC patients with cirrhosis is a feasible and promising procedure that is associated with less blood loss and fewer postoperative complications, especially the incidence of postoperative ascites. Further investigations are clearly warranted. 相似文献4.
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Mieko Yamagata Kei Ikeda Kenji Tsushima Ken Iesato Mitsuhiro Abe Takashi Ito Daisuke Kashiwakuma Shin‐ichiro Kagami Itsuo Iwamoto Daiki Nakagomi Takao Sugiyama Yuichiro Maruyama Shunsuke Furuta David Jayne Takashi Uno Koichiro Tatsumi Hiroshi Nakajima 《Arthritis \u0026amp; Rheumatology》2016,68(3):713-723
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Satoshi Horino Yoji Sasahara Miki Sato Hidetaka Niizuma Satoru Kumaki Daiki Abukawa Atsushi Sato Masue Imaizumi Hirokazu Kanegane Yoshiro Kamachi Shinya Sasaki Kiminori Terui Etsuro Ito Ichiro Kobayashi Tadashi Ariga Shigeru Tsuchiya Shigeo Kure 《Pediatric transplantation》2014,18(1):E25-E30
IPEX syndrome is a rare and fatal disorder caused by absence of regulatory T cells (Tregs) due to congenital mutations in the Forkhead box protein 3 gene. Here, we report a patient with IPEX syndrome treated with RIC followed by allogeneic BMT from an HLA‐matched sibling donor. We could achieve engraftment and regimen‐related toxicity was well tolerated. Although the patient was in mixed chimera and the ratio of donor cells in whole peripheral blood remained relatively low, selective and sustained expansion of Tregs determined as CD4+CD25+Foxp3+ cells was observed. Improvement in clinical symptoms was correlated with expansion of donor‐derived Tregs and disappearance of anti‐villin autoantibody, which was involved in the pathogenesis of gastrointestinal symptoms in IPEX syndrome. This clinical observation suggests that donor‐derived Tregs have selective growth advantage in patients with IPEX syndrome even in mixed chimera after allogeneic BMT and contribute to the control of clinical symptoms caused by the defect of Tregs. 相似文献
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Hirabayashi Daiki Sakai Nobuo 《Odontology / the Society of the Nippon Dental University》1997,85(3):497-503
The multi-disciplinary concept of dental care in the adult patient, especially the middle age group, has recently received
considerable attention in orthodontics. The author presents the orthodontic treatment of a middle age female with severe overjet.
The patient was forty-one years and eleven months old female with a Class II, Division 1, malocclusion. Besides a severe skeletal
discrepancy in the anterior-posterior relationship, the U1-SN was 123.5 degrees. There were spaces in the maxillary anterior
segment and a large space was present between the canine and first premolar. The mandibular right first and second premolars
occluded in lingual position. Begg plastic brackets were placed in the maxilla and C.A.T. brackets were placed in the mandible.
The severe curve of Spee was eliminated by the use of a tandem depression archwire system in the mandibular arch. Both light
wire mechanics and edgewise straight wire mechanics were used effectively during the treatment process. The active treatment
period was three years. Overjet changed from 15.5mm to 6.0mm and overbite from 7.0mm to 3.3mm. The U1-SN and U1-AP were greatly
reduced. The lower anterior teeth were labially inclined, increasing the IMPA from 96.5 degrees to 107.5 degrees. The periodontal
tissue suffered no damage from the mechanical orthodontic procedures. The patient was significantly pleased with the treatment
results. 相似文献
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Useful aspects of diagnosis of imprint cytology in intraoperative consultation of ovarian tumors: comparison between imprint cytology and frozen sections 下载免费PDF全文
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Shingo Kato Akimasa Sekine Yuka Kusakawa Takashi Ogura Masaaki Futaki Tae Iwasawa Hidekuni Kirigaya Daiki Gyotoku Naoki Iinuma Kohei Iguchi Tatsuya Nakachi Kazuki Fukui Kazuo Kimura Satoshi Umemura 《Journal of cardiovascular magnetic resonance》2015,17(1)