There are some limits and irrationality in practical application of the clause 3.1, 3.2, 4.4.2, 4.5.2, 4.9.1 of YY 0672.1-2008 as the industry standard for laparoscopic trocar. This paper puts forward some opinion and advice.
Laparoscopy ; instrumentation ; Surgical Instruments ; standards

The results of electrocardiogram and coronary angiography were compared in 69 patients with acute inferior myocardial infarction(right ventricle, later wall). The sensitivity and specificity of ST segment elevation Ⅲ> Ⅱ in diagnosis of right coronary artery (RCA) as the infarction related artery (IRA) were 92.00% and 84. 21% respectively;those for ST segment depression avL > Ⅰ were 90. 00% and 89. 5% respectively. Therefore if ST-elevation Ⅲ > Ⅱ , ST-depression avL > Ⅰ and no depression on STV1 and V2 in acute inferior myocardial infarction may highly indicate that RAC be the IRA;on the contrary, the LCX be the IRA.

Leptin promotes proliferation of cancer cells via various signal transduction pathways and contributes to angiogenesis in gastric cancer. Leptin expression level is significantly higher in gastric cancer than in normal gastric mucous tissues, and correlates with clinicopathological features such as differentiation,tumor size and distant metastasis. Leptin has become a prognostic factor and a new therapy target of gastric cancer.

Combined Modality Therapy ; Endoscopy ; Humans ; Intraoperative Period ; Rhinitis ; therapy ; Sinusitis ; therapy

ObjectiveTo investigate the clinical features of borderline ovarian tumor (BOT).MethodThe clinical features, clinical stage, malignant potential, pathological type, the positive rate of serum CA125 were analyzed in 60 patients with pathological diagnosis of BOT. ResultsSerous cystadenoma was the main pathological type, accounted for 60.0％ (36/60). The occurrence of focal canceration in serous cystadenoma[22.2％ (8/36)]was higher than that in mucinous cystadenoma[5.3％(1/19)](P＜ 0.05). The positive rate of CA125 was 51.7％(31/60). The positive rate of CA125 in BOT with　micro-dip or focal canceration[65.0％(13/20) and 81.8％(9/11)]was higher than that in simple BOT [31.0％(9/29)](P＜O.05),but there was no significant difference between BOT with micro-dip and BOT with focal canceration (P＞ 0.05 ). ConclusionsBOT is low malignant potential and preoperative diagnosis is difficult because of the typical clinical symptoms. CA125 is not sensitive to pure BOT. Women of childbearing age should regularly check for ovarian tumor by ultrasonography and preoperative serum CA125 test can be combined with micro-dip on the BOT and those made with preoperative focal predict cancer diagnosis. Aggressive surgical treatment is necessarily as soon as possible and rapid intraoperative pathological examination to reduce cancer risk.

Caudate lobectomy is still a great challenge for surgeons due to unique anatomy of caudate lobe.A 38-year-old male patient with a huge recurrent hepatic cancer (diameter =16 cm) in caudate lobe received caudate lobectomy with portal triad and inferior vena cava clamping.The operation was paused due to hemorrhage (volume of blood loss =1000 ml).After heat preservation and blood transfusion,the caudate lobectomy was completely removed with inferior vena cava clamping.The patient gradually recovered,and no tumor recurrence was detected during the follow up (14 months).Caudate lobectomy could be safely carried out under the condition of accurate preoperational estimation,clear indication for surgery and precise hepatectomy.

Objective To seek the least damage to tooth structure and method of treatment to obtain the minimal microleakage.Methods 600 posterior teeth in vitro constant,according to the random number table method,were divided into 6 groups:A,B,C,D,E,F,l00 cases in each group.The pigmentation of deep pit and fissure or pit and fissure caries of the suspicious isolated human premolar were selected as observation objects,respectively.a Er:YAG laser,a high-speed diamond bur and clean cup brush were used to prepare for isolated anterior molar occlusal pit and fissure.And the performance of each sample was filled with light curing composite resin and fluid,Six different filling conditions of filling body and fissure between microleakage and bonding interface were observed by dye penetration method and scanning electron microscopy.Results The efficiency of F group was 99％,which was significantly higher than 87％ of C group (χ2 =5.84,P ＜0.05),55％ of D group(χ2 =7.21,P ＜0.05) and 87％ of E group (χ2 =11.65,P ＜ 0.05).The efficiency of C group was 87％,which was significandy higher than 43％ of A group (χ2 =3.97,P ＜ 0.05) and 61％ of B group (χ2 =8.35,P ＜ 0.05).The efficiency of B group was 61％,which was significantly higher than 43％ of A group (χ2 =6.25,P ＜ 0.05).Conclusion Er:YAG laser with fluid resin filling is the most effective way for the clinical treatment of pit and fissure deep narrow,already susPicious pit and fissure caries pit and fissure sealant failed teeth.

Objective To investigate the effect of Er:YAG laser irradiation on the structure of dental hard tissue.Methods 2 teeth (8 samples) were randomly selected from 26 teeth enamel group(104 samples) for blank control(group C).The remaining 24 teeth (96 samples) were randomly divided into A group (irradiation 10 s) and B group (20 s irradiation),each group according to power were randomly divided into 1,2,3,4,5,6 W six subgroups,each subgroup had 8 samples.Using a Er:YAG laser at 20 Hz frequency,according to the corresponding packet (with different power and different irradiation time) were irradiated for each sample.Dentin grouped with enamel group.To observe the changes of different energy and the pit diameter and depth.Results The enamel surface pit diameter was compared by different irradiation time and power,different power within the same irradiation time (t =1.89,2.02,2.76,1.98,1.37,1.42,all P ＜ 0 05) ; compared between B group and the A group under the same power (t =1.23,3.23,2.04,1.45,1.42,1.87,all P ＜ 0.05).The enamel surface pit depth was compared by different irradiation time and power,different power within the same irradiation time (t =1.15,3.09,2.32,1.76,1.51,1.59,all P ＜ 0.05) ;compared between B group and the A group under the same power (t =1.15,3.09,2.32,1.76,1.51,1.59,all P ＜0.05).The dentin surface pit diameter was compared by different irradiation time and power,different power within the same irradiation time (t =1.15,3.09,2.32,1.76,1.51,1.59,all P ＜ 0.05) ; compared between B group and the A group under the same power(t =1.15,3.09,2.32,1.76,1.51,1.59,all P ＜ 0.05).The dentin surface pit depth was compared by different irradiation time and power,diffe rent power within the same irradiation time (t =2.12,2.04,1.82,1.43,1.31,1.76,all P ＜ 0.05) ; compared between B group and the A group under the same power(t =2.34,3.13,2.76,1.45,1.34,1.62,all P＜0.05).Conclusion With the increase in the laser energy and the irradiation time,the diameter and depth of enamel pits produced also continuously increase;With the increase in the laser energy and the irradiation time,dentin diameter and depth of the pits produced constantly increased.The different parameters of Er:YAG laser irradiation of dental hard tissues have different effects on the structure.

Micrometastasis of carcinoma is one of the most significant pieces of evidence for molecular staging.Detection of micrometastasis of non-small-cell lung cancer plays a significant role in staging precisely,guiding treatment and predicting the prognosis of patients.This review is focused on the latest developments of markers such as CK19,LUNX,CEA mRNA,oncogene and anti-oncogene.The sites about micrometastasis of non-small-cell lung cancer are usually reported in lymph node and bone marrow,rarely in pleural cavity and increasingly in peripheral blood.

China ; Endoscopy ; Humans ; Otorhinolaryngologic Surgical Procedures