Laparoendoscopic single-site surgery adrenalectomy : own experience and matched case-control study with standard laparoscopic adrenalectomy

INTRODUCTION: At our institution, laparoendoscopic single-site surgery (LESS) has been established as a technique for laparoscopic nephrectomy since 2011, and since 2012 in selected cases for adrenalectomy (AE) as well. AIM: To compare LESS AE with standard laparoscopic AE (SLAE). MATERIAL AND METHODS: Between 3/2012 and 7/2014, 35 adrenalectomies were performed. In 18 (51.4%), a LESS approach was chosen. Indications were strictly non-complicated cases (body mass index (BMI) < 34 kg/m(2), tumour ≤ 7 cm, non-malignant aetiology, no previous surgery). All LESS procedures were done by one surgeon. Standard equipment was a 10 mm rigid 0° camera, Triport+, one pre-bent grasper, and a sealing instrument. The approach was pararectal in all cases except one (transumbilical in a slim man). Three patients with LESS were excluded (2 partial AEs only, one adrenal cancer converted to SLAE and then to open surgery). These 15 LESS AE procedures were compared to 15 SLAEs with similar characteristics chosen among 54 SLAEs performed in the period 1/2008–2/2012. RESULTS: In 8 cases (53.3%) of LESS AE, a 3 mm port was added to elevate the liver/spleen. Mean parameters of LESS AE vs. SLAE (Wilcoxon test): maximal tumour diameter 43.7 mm vs. 36.1 mm (p = 0.28), time of surgery 63.3 min vs. 55.3 min (p = 0.22), blood loss 38.0 ml vs. 38.0 ml (p = 0.38), BMI 26.9 kg/m(2) vs. 28.5 kg/m(2) (p = 0.13), discharge from hospital 5.4 days vs. 3.9 days (p = 0.038). There were no complications in either group. CONCLUSIONS: The LESS AE is feasible in selected cases, especially small left-sided tumours in thin patients with no history of previous abdominal operations, but requires an additional port in half of the cases

2023 DZ2 Planetary Defense Campaign

peer reviewedWe present the results of a fourth planetary defense exercise, focused this time on the small near-Earth asteroid (NEA) 2023 DZ2 and conducted during its close approach to the Earth in 2023 March. The International Asteroid Warning Network (IAWN), with support from NASA's Planetary Defense Coordination Office (PDCO), has been coordinating planetary defense observational campaigns since 2017 to test the operational readiness of the global planetary defense capabilities. The last campaign focused on the NEA Apophis, and an outcome of that exercise was the need for a short burst campaign to replicate a real-life near-Earth object impact hazard scenario. The goal of the 2023 DZ2 campaign was to characterize the small NEA as a potential impactor and exercise the planetary defense system including observations, hypothetical risk assessment and risk prediction, and hazard communication with a short notice of just 24 hr. The entire campaign lasted about 10 days. The campaign team was divided into several working groups based on the characterization method: photometry, spectroscopy, thermal IR photometry and optical polarimetry, radar, and risk assessment. Science results from the campaign show that 2023 DZ2 has a rotation period of 6.2745 ± 0.0030 minutes; visible wavelength color photometry/spectroscopy/polarimetry and near-IR spectroscopy all point to an E-type taxonomic classification with surface composition analogous to aubrite meteorites; and radar observations show that the object has a diameter of 30 ± 10 m, consistent with the high albedo (0.49) derived from polarimetric and thermal IR observations

Properties of continuum wavelet transform

Signal analysis utilising the wavelet transform with maximum information concerning the signal, but without the necessity of a back transform

The preprocessor for system LISA

In this contribution we pay attention to the propagation of the stress waves in an arbitrary complex inhomogeneous media. For the system of elastodynamic wave equations we have adopted the method of solution based on the local interaction simulation approach (LISA) and the sharp interface model (SIM) introduced for 1D, 2D and 3D cases in [1-3]

The effect of geometrical dispersion on stress wave propagation

The effect geometrical dispersion is that the energy in a wave-packet propagates at different speeds depending on its frequency. This manifests itself as a spreading of the wave-packet in space and time as it propagates through a structure. It is show that duration of a wave-packet increases linearly with propagation distance and also that the duration of a wave-packet after a given propagation distance depends on the input signal