简介:AbstractBackground:The complete mesogastrium excision (CME) based on D2 radical gastrectomy is believed to significantly reduce the local-regional recurrence compared with D2 radical gastrectomy in advanced gastric cancer, and it is widely used in China. This study aimed to explore whether D2 + CME is superior to D2 on surgical outcomes during gastrectomy from Chinese data.Methods:Feasible studies comparing the D2 + CME (D2 + CME group) and D2 (D2 group) published up to March 2020 are searched from electronic databases. The data showing surgical and complication outcomes are extracted to be pooled and analyzed.Results:Fourteen records including 1352 patients were included. The D2 + CME group had a shorter mean operative time (weighted mean difference [WMD] = -16.72 min, 95% confidence interval [CI]: -26.56 to - 6.87 min, P < 0.001), lower mean blood loss (WMD = -39.08 mL, 95% CI: -49.94 to -28.21 mL, P < 0.001), higher mean number of retrieved lymph nodes (WMD = 2.13, 95% CI: 0.58-3.67, P = 0.007), shorter time to first flatus (WMD =-0.31 d, 95% CI: -0.53 to - 0.10 d, P = 0.005), and postoperative hospital days (WMD =-1.09, 95% CI: -1.92 to -0.25, P = 0.010) than the D2 group. Subgroup analysis suggested that the advantages from the D2 + CME group were obvious in traditional open radical gastrectomy, proximal gastrectomy, and distal gastrectomy compared with D2 group. The evaluations of post-operative complications showed that the patients who underwent D2 + CME had a lower incidence of post-operative complications than the patients who underwent D2 surgery alone (relative risk [RR] = 0.65, 95% CI: 0.45-0.87, P = 0.003). The D2 radical gastrectomy plus CME improved 3-year overall survival (OS) (RR = 1.16, 95% CI: 1.02-1.32, P = 0.020) and lowered the local recurrence rate (RR = 0.51, 95% CI: 0.28-0.94, P = 0.030). The patients undergoing laparoscopic surgery or total gastrectomy had more significant advantages compared between D2 + CME and D2 groups in 3-year OS.Conclusion:The data from China show that D2 radical gastrectomy plus CME are reliable procedures and safety compared to D2 radical gastrectomy with faster recovery, lower risk, and better prognosis.
简介:Itisaresearchsubjectincomputervisionto3Dreconstructionofanobjectrepresentedbyasingle2Dlinedrawing.Previousworkson3Dreconstructionfrom2Dlinedrawingsfocusonobjectswithlines,plane,view,andsoon.Thispapermainlystudiesthe3Dreconstructionfrom2Dlinedrawings.Besides,anewapproachisproposed:itisthatfortheresearchofthepointcoordinatesof2Dlinedrawings,soastoachievetheobjectreconstructionbythereconstructionofpointcoordinates.Thereconstructionprocessincludes:①thecollectionofpointcoordinates(X,Y)of2Dlinedrawings;②thederivationofmathematicalformulaaboutthereconstructionofthepointof2Dlinedrawings,andcalculatingthecorrespondingpointofthe3Dcoordinates;③theregenerationof3Dgraphicswith3Dpoints;④analyzeerrorbytheproportionalofparallelofaxonometricprojection,inordertoprovetheaccuracyofthemethod.
简介:Wetackletheproblemofconstructing2DcentroidalVoronoitessellationswithconstraintsthroughanefficientandrobustconstructionofboundedVoronoidiagrams,thepseudo-dualoftheconstrainedDelaunaytriangulation.WeexploitthefactthatthecellsoftheboundedVoronoidiagramcanbeobtainedbyclippingtheordinaryonesagainsttheconstrainedDelaunayedges.Theclippingitselfisefficientlycomputedbyidentifyingforeachconstrainededgethe(connected)setoftriangleswhosedualVoronoiverticesarehiddenbytheconstraint.TheresultingconstructionisamenabletoLloydrelaxationsoastoobtainacentroidaltessellationwithconstraints.
简介:Resortingtocubicsplinefunctioninsteadofparametricsplinerepresentation,anexplicitfairnessindicatorandanefficientfairingalgorithmfor2Dcurvesarepresented.Theinputpointsequenceisfirstlypartitionedintoseveraloverlappedfunctionsegments.Foreachsegment,acubicsplinefunctionisusedastherepresentationtoolwhichentailsapolylineapproximationofcurvatureplot.Basedontheextrinsicrelationshipbetweenthepolylineandthepositionsofdatapoints,acoarse-to-finefaringmethodisproposedwhichefficientlyidentifiesandeliminatestheunnecessaryinflectionpoints.Ouralgorithmgeneratesthebestresultstodate,whichisvalidatedbynumerouspracticalexamples.
简介:Aseriesof2’-purineandpyrimidinederivativesof1’,4’-anhy-dro-2’-deoxy-D-arabitol(1)and1’,4’-anhydro-2’-deoxy-D-altritol(2)weresynthesizedregio-andstereo-selectivelyfromD-sorbitolthroughsomeconversioninhighyields.
简介:X-rayimagingistheconventionalmethodfordiagnosingtheorthopedicconditionofapatient.ComputerizedTomography(CT)scanningisanotherdiagnosticmethodthatprovidespatient’s3Danatomicalinformation.However,bothmethodshavelimitationswhendiagnosingthewholeleg;X-rayimagingdoesnotprovide3Dinformation,andnormalCTscanningcannotbeperformedwithastandingposture.Obtaining3Ddataregardingthewholeleginastandingpostureisclinicallyimportantbecauseitenables3Danalysisintheweightbearingcondition.Basedontheseclinicalneeds,ahardware-basedbi-planeX-rayimagingsystemhasbeendeveloped;itusestwoorthogonalX-rayimages.However,suchmethodshavenotbeenmadeavailableingeneralclinicsbecauseofthehightcost.Therefore,weproposedawidelyadaptivemethodfor2DX-rayimageand3DCTscandata.Bythismethod,itispossibletothreedimensionallyanalyzethewholeleginstandingposture.TheoptimalpositionthatgeneratesthemostsimilarimageisthecapturedX-rayimage.Thealgorithmverifiesthesimilarityusingtheperformanceoftheproposedmethodbysimulation-basedexperiments.Then,weanalyzedtheinternal-externalrotationangleofthefemurusingrealpatientdata.Approximately10.55degreesofinternalrotationswerefoundrelativetothedefinedanterior-posteriordirection.Inthispaper,wepresentausefulregistrationmethodusingtheconventionalX-rayimageand3DCTscandatatoanalyzethewholelegintheweight-bearingcondition.
简介:【教学目标】1.语言知识目标(1)Masterthewordsandphrases;noodles,wouldlike,special,size,bowl,mutton,beef,cabbage,potato,order……(2)Mastertheexpressions;Whatwouldyoulike?I'dlikesomenoodles.Whatkindofnoodleswouldyoulike?I'dlikebeefnoodles.Whatsizewouldyoulike?I’dlikealargebowl,please.2.能力目标掌握情态动词would的用法,并能用wouldlike这一结构对食物进行询问并点餐。3.情感目标体会学习英语的乐趣,在小组合作与交流中,增长生活经验,促进人际交往,并养成良好的饮食习惯。【教学重点与难点】(一)重点1.学习日常生活中有关食物的名称。2.含有wouldlike的特殊疑问句及其回答。