Central pancreatectomy - indications revisited

Institutul Clinic Fundeni, București, Al XI-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova și cea de-a XXXIII-a Reuniune a Chirurgilor din Moldova „Iacomi-Răzeșu” 27-30 septembrie 2011Pancreatectomia alternativă la rezecțiile standard (duodenopancreatectomia cefalica și pancreatectomia distală) pentru leziuni situate la nivelul istmului și corpului de pancreas. Principalul avantaj este reprezentat de conservarea atât a funcției exocrine cât și a celei endocrine a pancreasului. Dezavantajul major este reprezentat de morbiditatea postoperatorie crescută, reprezentată în principal de fistula pancreatică. Cele mai frecvente indicații ale pancreatectomiei centrale sunt reprezentate de tumorile benigne și cu potențial redus de malignizare. Chiar dacă acest procedeu chirurgical este contraindicat în carcinomul ductal de pancreas, totuși, o serie de alte malignități speciale ale pancreasului cum ar fi metastazele pancreatice ale altor neoplazii sau pancreatoblastomul pot beneficia, în anumite situații, de acest tip de intervenție chirurgicală. Deși nu este o procedură chirurgicală foarte frecvent utilizată, pancreatectomia centrală, își găsește locul în arsenalul rezectiilor pancreatice.Central pancreatectomy has emerged as a pancreas-sparing alternative technique to standard pancreatic resections (i.e. pancreatico-duodenectomy and distal pancreatectomy) for pancreatic lesions located to the isthmus and body. The main advantage is related to a better preservation of both exocrine and endocrine pancreatic functions. Conversely, the major concern is related to the high postoperative morbidity, mainly related to the postoperative pancreatic fistula rate. The most frequent reported indications for central pancreatectomy are represented by benign and low-malignant lesions of the pancreas. Although central pancreatectomy is not indicated for ductal adenocarcinoma of the pancreas, however, for certain special malignancies of the pancreas (i.e. metastasis to the pancreas of others neoplasia, pancreatoblastoma), central pancreatectomy has been proven to be a safe operation. Although central pancreatectomy is not a frequent operation, it should be included in pancreatic surgeons’ armamentarium for certain indications

USE OF DETACHING EQUIPMENT IN GRAPE POMACE PROCESSING TECHNOLOGY

The equipment is intended to operate within the fruit processing technological flows, respectively to detach- disintegrate the grape pomace which are formed during the fruit pressing using milling drums. These pomaces, usually are made up of fruit solid agglomerations, that have a greater seed concentration and humidity, especially when the rotary rollers are working with a certain distance between, in order to not crush the grape seeds. Based on these considerations, in the paper it is analyzed and presented the case in which the detacher can successfully be used in grape seeds separating technology from the pomace and its performances to separate the sub-products resulting from the grapes pressing operation

Esophageal resection- experience in center of general surgery and liver transplantation “Dan Setlacec” 2001-2011

Institultul Clinic Fundeni, Clinica Chirurgie Generală şi Transplant Hepatic “Dan Setlacec”, Al XI-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova și cea de-a XXXIII-a Reuniune a Chirurgilor din Moldova „Iacomi-Răzeșu” 27-30 septembrie 2011Chirurgia rezecţională esofagiană este complexă prin varietatea substratului lezional, multitudinea căilor de abord precum şi terenul biologic frecvent alterat al pacienţilor. Scopul acestei lucrări este analiza rezultatelor postoperatorii imediate şi tardive în rândul pacienţilor supuşi rezecţiei esofagiene în Centrul de Chirurgie Generală şi Transplant Hepatic ”Dan Setlacec” în perioada 2001-2011.Esophageal resection is a demanding surgical task due to various lesional substrat and type of surgical approach and, often, .alterated biological field of patients.The aim of this study is to analyze immediate and late outcome of patients reffered for esophageal resection in Center for General Surgery and Liver Transplantation “Dan Setlacec” from Fundeni Clinical Institute along a decade (2001-2011)

CONSIDERATIONS ON ENERGETIC CROPS POTENTIAL

In order to breathe fresh and clean air, nature and terrestrial atmosphere should be preserved and protected. Carbon emissions represent one of the main enemies of air quality. Recently, carbon emissions have surpassed all the predictions because the excessive industrialization, becoming the determining factor for global warming. A viable alternative to carbon emissions reduction is the utilization of energy sources that can diminish the noxious substances emissions up to zero. This can be done by using the power of wind, sun, water, energy plants, etc. Among the energetic potential plants, the biomass is obtained- a form of renewable energy which final product is biofuel

CONSIDERATIONS REGARDING THE HARVESTING TECHNOLOGIES OF JERUSALEM ARTICHOKE

Jerusalem artichoke (Helianthus tuberosusL.) is not cultivated on the large surface that cereals, vegetables or potatoes so mechanizes technologies are not very often encountered. In this paper are presented few technologies used on the country where this culture occupied large surface and not only

CONSIDERATIONS ON THE EXTRACTION TECHNOLOGY OF SUGAR SORGHUM JUICE

Lately there has been an increase in drought periods but also an increase in population and therefore in consumption of food and fuel while arable land remains the same which leads to the cultivation of species with high energy potential and high nutritional potential as drought resistant, species of sorghum. The sorghum is used for: food (flours, juices, syrups, vinegar, etc.), for animal feed, but also in the industry for fuel, energy, building materials, paper, proposes to carry out an analysis of the technologies for obtaining juice from sorghum

Calcium phosphates grown on bacterial cellulose template

© 2018 Elsevier Ltd and Techna Group S.r.l. Bacterial cellulose membranes were employed as templates for calcium phosphates deposition by successive immersion in solutions of Ca(NO 3 ) 2 ·4H 2 O and (NH 4 ) 2 HPO 4 , under ultrasonication. During the wet chemical reaction, mineral phases were loaded on bacterial cellulose fibrils, leading to precursor hybrid composites. These were subjected to a lyophilisation procedure in order to preserve the 3D porous aspect and afterwards to a thermal treatment with the aim of removing the polymeric phase and generating well crystallized structures. Different types of morphologies were achieved by varying the heating rate, as well as the calcination temperature and period. The as-prepared samples and the final ones were investigated from compositional and structural point of view through X-ray diffraction and Fourier-transform infrared spectroscopy and morphologically concerning by scanning electron microscopy. The magnetic properties were also evaluated in order to demonstrate the suitability of the obtained materials for the development of magnetic scaffolds dedicated to hard tissue applications