839 research outputs found

    Surgical Results of Patients with Peritoneal Carcinomatosis Treated with Cytoreductive Surgery Using a New Technique Named Aqua Dissection

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    During 2004 to 2011, 81, 420, and 166 patients with colorectal cancer (CRC), epithelial appendiceal neoplasm (APN), and gastric cancer (GC) with PC were treated with cytoreductive surgery (CRS) plus perioperative chemotherapy. CRS was performed by peritonectomy techniques using an aqua dissection. Results. Complete cytoreduction was done in 62/81 (76.5%), 228/420 (54.3%), and 101/166 (60.8%) of patients with CRC, APN, and GC. The main reasons of incomplete resections were involvement of all peritoneal regions and diffuse involvement of small bowel. The incidence (64%, 302/470) of CC-0 resection after introduction of an aqua dissection was significantly higher than before (42%, 82/197). A total of 41 (6.1%) patients died postoperatively. Major complication (grade 3-4 complications) occurred in 126 patients (18.9%). A reoperation was necessary in 36 patients (5.4%). By the multivariate analysis, PCI scores capable of serving as thresholds for favorable versus poor prognosis in each group and CC scores demonstrated as the independent prognostic factors. Conclusions. Peritonectomy using an aqua dissection improves the incidence of complete cytoreduction, and improves the survival of patients with PC. Patients with PCI larger than the threshold values should be treated with chemotherapy to improve the incidences of complete cytoreduction

    Synthesis, Structural and Magnetic Properties of La0.5Ba0.5CoO2.75+x

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    Hole doping to the Co3+ ion in cobaltite perovskites can significantly modify the electromagnetic properties. We prepared the hole-doped cobaltite perovskites La0.5Ba0.5CoO2.75+x (x = 0.06 and x = 0.15). Neutron powder diffraction and dc-magnetization experiments were performed to investigate the crystal structure and magnetic properties. We found that both of the samples have the cubic crystal structure with space group Pmm in all the measured temperatures. Ferromagnetic transition occurs at 160K in x = 0.15 sample. For x = 0.06, we found the short-range ordered ferromagnetic state and a long-range ordered antiferromagnetic state coexist in low temperature
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