Indications for open hepatectomy in the era of laparoscopic liver resection: a high volume single institutional study

Background/Aim Since the introduction of laparoscopy for liver resection in the 1990s, the performance of laparoscopic liver resection (LLR) has been steadily increasing. However, there is currently no data on the extent to which laparoscopy is used for liver resection. Herein, we investigated the extent to which laparoscopy is performed in liver resection and sought to determine whether surgeons prefer laparoscopy or laparotomy in the posterosuperior (PS) segment. Methods For this retrospective observational study, we enrolled patients who had undergone liver resection at the Samsung Medical Center between January 2020 and December 2021. The proportion of LLR in liver resection was calculated, and the incidence and causes of open conversion were investigated. Results A total of 1,095 patients were included in this study. LLR accounted for 79% of the total liver resections. The percentage of previous hepatectomy (16.2% vs. 5.9%, P<0.001) and maximum tumor size (median 4.8 vs. 2.8, P<0.001) were higher in the open liver resection (OLR) group. Subgroup analysis revealed that tumor size (median 6.3 vs. 2.9, P<0.001) and surgical extent (P<0.001) in the OLR group were larger than those in the LLR group. The most common cause of open conversion (OC) was adhesion (57%), and all OC patients had tumors in the PS. Conclusions We investigated the recent preference of practical surgeons in liver resection, and found that surgeons preferred OLR to LLR when treating a large tumor located in the PS

A Study on the Comparative Analysis of the FLO-2D Model According to Debris Flow Sediment Amount

It is very important to predict the extent of the damage in order to reduce or prevent damage by the debris flow. In the Republic of Korea, various methods are used to understand the characteristics and to estimate the occurrence of the debris flow in an undamaged area, such as simulating disasters using the estimation of debris flow sediment amount based on field survey data. In this study, the runout distance of debris flow was analyzed by using different methods for estimating the debris flow sediment amount, at Wondeok-eup, Samcheok-si, Gangwon-do, where debris flow occurred due to Typhoon Mitak in 2019. The simulation results of the damage area were compared with the actual damage area. The result showed that the simulations generally corresponded to the actual area of damage caused by the sedimentation of debris flow. However, the estimation of damage area varied according to the used method of calculating the debris flow sediment amount

ZnO Thin-Film Transistor Grown by rf Sputtering Using Carbon Dioxide and Substrate Bias Modulation

ZnO thin-film transistor (TFT) grown by rf magnetron sputtering in Ar/O2 atmosphere shows inferior turn-off characteristics compared to ZnO TFT grown by other methods. We thought that reactions between Zn and O2 might produce defects responsible for the poor turn-off behavior. In order to solve this problem, we studied sputtering growth in Ar/CO2 atmosphere at 450°C. During sputtering growth, we modulated substrate dc bias to control ion supply to the substrate. After growth ZnO was annealed in CO2 and O2 gas. With these methods, our bottom-gate ZnO thin-film transistor showed 4.7 cm2/Vsec mobility, 4×106 on/off ratio, and –2 V threshold voltage

Numerical Simulation Reflecting Buildings in Area Damaged by Debris flow

More than 80% of average annual precipitation in South Korea occurs between June and September owing to heavy rainfall and typhoons in summer, and its land is vulnerable to mountain disasters (landslides and debris flow) as 63% of it is mountainous areas. In this study, an area damaged by debris flow in Wondeok-eup, Samcheok-si, Gangwon-do, Korea under the influence of Typhoon Mitag in 2019 was surveyed and numerical modeling was performed. Topographic data were created using the 5m grid DEM derived through the field survey data and GIS technique as well as the building data of the damaged area, and debris flow modeling was performed using the Hyper KANAKO model. A comparison with the inundation trace map showed that the simulation results based on topographic data that reflected buildings exhibited similar flow patterns and characteristics to the actual damage

Prediction of strawberry fruit yield based on cultivar-specific growth models in the tunnel-type greenhouse

The strawberry growth and fruit yield of five Korean cultivars in the tunnel-type greenhouse predicted using their growth. The number of leaves, petiole length, leaf length and width, crown diameter, and the ratio of red and far-red (RFR) of the five Korean cultivars were measured during the cultivation period. The number of leaves of all cultivars exhibited a similar trend during this period; the plant and petiole length of ‘Maehyang’ were the longest, leaf length exhibited similar trends in all five cultivars except for ‘Jukhyang’, the leaf width of ‘Arihyang’, was the longest, and crown diameter of ‘Keumsil’ was the thickest. The leaf length, crown diameter, and RFR were associated with the fruit yield in the multiple linear regression. When a single model was used to predict the yield of all five cultivars, the correlation between expected yield and actual yield was r = 0.53. When cultivar-specific models were built for the prediction, the correlation increased to r = 0.77. The results indicated that the fruit yield of strawberry cultivars could be better predicted by considering cultivar-specific information, so it may be necessary to consider individual cultivars specifically rather than all cultivars simultaneously

A Case of Infected Left Atrial Myxoma With Concomitant Mitral Valve Endocarditis

Myxoma is the most common primary tumor in the heart. Cardiac myxomas can present in various manners including embolization and fever, sometimes simulating endocarditis. However, they are rarely infected. We report here a case of an infected left atrial myxoma that seeded a normal mitral valve and atypically presented with multiple embolic events in the lower extremities along with multiple splenic and a cerebellar infarction

Investigation of the mechanism of the anomalous Hall effects in Cr2Te3/(BiSb)2(TeSe)3 heterostructure

The interplay between ferromagnetism and the non-trivial topology has unveiled intriguing phases in the transport of charges and spins. For example, it is consistently observed the so-called topological Hall effect (THE) featuring a hump structure in the curve of the Hall resistance (Rxy) vs. a magnetic field (H) of a heterostructure consisting of a ferromagnet (FM) and a topological insulator (TI). The origin of the hump structure is still controversial between the topological Hall effect model and the multi-component anomalous Hall effect (AHE) model. In this work, we have investigated a heterostructure consisting of BixSb2-xTeySe3-y (BSTS) and Cr2Te3 (CT), which are well-known TI and two-dimensional FM, respectively. By using the so-called minor-loop measurement, we have found that the hump structure observed in the CT/BSTS is more likely to originate from two AHE channels. Moreover, by analyzing the scaling behavior of each amplitude of two AHE with the longitudinal resistivities of CT and BSTS, we have found that one AHE is attributed to the extrinsic contribution of CT while the other is due to the intrinsic contribution of BSTS. It implies that the proximity-induced ferromagnetic layer inside BSTS serves as a source of the intrinsic AHE, resulting in the hump structure explained by the two AHE model