BACKGROUND The abdominal perineal resection(APR),historically referred to as Mile’s proce-dure,stands as a time-honored surgical intervention for rectal cancer manage-ment.Advancements in surgical techniques and the ...BACKGROUND The abdominal perineal resection(APR),historically referred to as Mile’s proce-dure,stands as a time-honored surgical intervention for rectal cancer manage-ment.Advancements in surgical techniques and the advent of neoadjuvant therapies have significantly improved the rate of sphincter preservation among patients afflicted with rectal cancer,including those with ultralow rectal cancer.Despite these improvements,APR maintains its irreplaceable role in the clinical landscape,particularly for cases involving low rectal cancer with encroachment on the external anal sphincter or levator ani muscles.Optimal perineal exposure stands as a pivotal phase in APR,given that the precision of this maneuver is directly correlated with both the safety of the surgery and the patient’s subse-quent long-term prognosis.AIM To evaluate the value of Lone-Star retractor(LSR)perineal exposure method in the treatment for laparoscopic APR of rectal cancer.METHODS We reviewed the records of 38 patients with rectal cancer at Anqing Municipal Hospital from January 2020 to December 2023,including 20 patients who underwent the APR procedure with a LSR perineal exposure method(LSR group)and 18 patients who underwent the APR procedure with a conventional perineal exposure method(control group).In the LSR group,following incision of the skin and subcutaneous tissue,the LSR was placed and dynamically adjusted according to the surgical plane to fully expose the perineal operative field.RESULTS A total of 38 patients underwent laparoscopic APR,none of whom were found to have distant metastasis upon intraoperative exploration.Perineal blood loss,the postoperative hospital stays and the wound pain scores in the LSR group were significantly lower than those in the control group.A single surgeon completed the perineal operation significantly more often in the LSR group than in the control group(P<0.05).The incidence of infection via the perineal incision in the LSR group was significantly lower than that in the control group(P<0.05).No ca展开更多
Pancreatic ribonuclease,which is encoded by RNase1,is a digestive enzyme secreted by the pancreas of vertebrates,and has been recognized to be a classic example for molecular evolutionary studies due to the frequent o...Pancreatic ribonuclease,which is encoded by RNase1,is a digestive enzyme secreted by the pancreas of vertebrates,and has been recognized to be a classic example for molecular evolutionary studies due to the frequent occurrence of gene duplication and functional divergence in organisms（Zhang et al.,2002,2006;Yu and Zhang,2006;Yu et al.,2010;Xu et al.,2013;Liu et al.,2014）.RNase1 has been extensively studied in many mammals,展开更多
Madagascar becomes a large isolated island after its dislocation from East Africa at its western part during the opening of the Mozambique Channel and its separation from India at its eastern part during the opening o...Madagascar becomes a large isolated island after its dislocation from East Africa at its western part during the opening of the Mozambique Channel and its separation from India at its eastern part during the opening of the basin of the Mascarene. From a stratigraphic point of view, Karroo of Madagascar shares substantial similarities with the stratigraphic strata of East Africa.While oil companies have taken a liking to the basins of East Africa, they also turn to the basins in the western part of Madagascar especially after the discovery of large oil fields at Tsimiroro and Bemolanga. According to the study of their geological history, the basins of Madagascar contain huge hydrocarbon potential. The western basins, which is more developed than the east coast of the island, have been the subject of many in-depth studies by numerous researchers. The cross-referencing of bibliographic data with geological studies, and knowledge of hydrocarbon formation and maturation stages, carried out in this study served to determine the nature of source rocks, reservoir rocks, bedrock and eventual trapping system of hydrocarbons in Madagascar. This study identified the properties of Madagascar source rocks, reservoir rocks, bedrock and the final oil and gas trap system by cross-referencing the literature and geological research, oil and gas formation and maturity stages, and shows that Madagascar has considerable hydrocarbon potential.展开更多
AIM: To investigate the association of Caveolin-1 (Cav-1) polymorphisms with colorectal cancer (CRC) risk in a central Taiwan Residents population. METHODS: Three hundred and sixty-two patients with colorectal cancer ...AIM: To investigate the association of Caveolin-1 (Cav-1) polymorphisms with colorectal cancer (CRC) risk in a central Taiwan Residents population. METHODS: Three hundred and sixty-two patients with colorectal cancer and the same number of recruited age-and gender-matched healthy controls were genotyped. And only those matches with all single nucleotide poly-morphisms data (case/control = 362/362) were selected for final analyzing. RESULTS: There were significant differences between CRC and control groups in the distributions of their genotypes (P = 1.6 × 10 -12 and 3.0 × 10 -4 ) and allelic frequencies (P = 2.3 × 10 -13 and 4.0 × 10 -5 ) in the Cav-1 G14713A (rs3807987) and T29107A (rs7804372) poly-morphisms respectively. As for the haplotype analysis,those who had GG/AT or GG/AA at Cav-1 G14713A/ T29107A showed a 0.68-fold (95% CI: 0.48-0.98) de- creased risk of CRC compared to those with GG/TT,while those of any other combinations were of increased risk. There were joint effects of Cav-1 G14713A and T29107A genotype with smoking status on individual CRC susceptibility. CONCLUSION: This is the first report providing evidence of Cav-1 being involved in CRC and it may be novel useful genomic markers for early detection of CRC.展开更多
Cancers are a worldwide concern;oral,esophageal and gastrointestinal cancers represent important causes of cancer-related mortality and contribute to a signif icant burden of human health.The DNA repair systems are th...Cancers are a worldwide concern;oral,esophageal and gastrointestinal cancers represent important causes of cancer-related mortality and contribute to a signif icant burden of human health.The DNA repair systems are the genome caretakers,playing a critical role in the initiation and progression of cancers.However,the association between the genomic variations of DNA repair genes and cancer susceptibility is not well understood.This review focuses on the polymorphic genotypes of the non-homologous end-joining DNA repair system,highlighting the role of two genes of this pathway,XRCC5 and XRCC6,in the susceptibility to digestive system cancers and discussing their potential contributions to personalized medicine.展开更多
基金the Research Projects Foundation at Universities of Anhui Province,No.2023AH050577Research Projects Foundation at the Science and Technology Bureau of Anqing City,No.2023Z1001.
文摘BACKGROUND The abdominal perineal resection(APR),historically referred to as Mile’s proce-dure,stands as a time-honored surgical intervention for rectal cancer manage-ment.Advancements in surgical techniques and the advent of neoadjuvant therapies have significantly improved the rate of sphincter preservation among patients afflicted with rectal cancer,including those with ultralow rectal cancer.Despite these improvements,APR maintains its irreplaceable role in the clinical landscape,particularly for cases involving low rectal cancer with encroachment on the external anal sphincter or levator ani muscles.Optimal perineal exposure stands as a pivotal phase in APR,given that the precision of this maneuver is directly correlated with both the safety of the surgery and the patient’s subse-quent long-term prognosis.AIM To evaluate the value of Lone-Star retractor(LSR)perineal exposure method in the treatment for laparoscopic APR of rectal cancer.METHODS We reviewed the records of 38 patients with rectal cancer at Anqing Municipal Hospital from January 2020 to December 2023,including 20 patients who underwent the APR procedure with a LSR perineal exposure method(LSR group)and 18 patients who underwent the APR procedure with a conventional perineal exposure method(control group).In the LSR group,following incision of the skin and subcutaneous tissue,the LSR was placed and dynamically adjusted according to the surgical plane to fully expose the perineal operative field.RESULTS A total of 38 patients underwent laparoscopic APR,none of whom were found to have distant metastasis upon intraoperative exploration.Perineal blood loss,the postoperative hospital stays and the wound pain scores in the LSR group were significantly lower than those in the control group.A single surgeon completed the perineal operation significantly more often in the LSR group than in the control group(P<0.05).The incidence of infection via the perineal incision in the LSR group was significantly lower than that in the control group(P<0.05).No ca
基金supported by grants from the Yunnan Provincial Education Fund project in Scientific Research to X.P.W.(No.2015Y003)the Yunnan Applied Basic Research Project to D.T.Lthe National Youth Talent Support Program to L.Y
文摘Pancreatic ribonuclease,which is encoded by RNase1,is a digestive enzyme secreted by the pancreas of vertebrates,and has been recognized to be a classic example for molecular evolutionary studies due to the frequent occurrence of gene duplication and functional divergence in organisms（Zhang et al.,2002,2006;Yu and Zhang,2006;Yu et al.,2010;Xu et al.,2013;Liu et al.,2014）.RNase1 has been extensively studied in many mammals,
文摘Madagascar becomes a large isolated island after its dislocation from East Africa at its western part during the opening of the Mozambique Channel and its separation from India at its eastern part during the opening of the basin of the Mascarene. From a stratigraphic point of view, Karroo of Madagascar shares substantial similarities with the stratigraphic strata of East Africa.While oil companies have taken a liking to the basins of East Africa, they also turn to the basins in the western part of Madagascar especially after the discovery of large oil fields at Tsimiroro and Bemolanga. According to the study of their geological history, the basins of Madagascar contain huge hydrocarbon potential. The western basins, which is more developed than the east coast of the island, have been the subject of many in-depth studies by numerous researchers. The cross-referencing of bibliographic data with geological studies, and knowledge of hydrocarbon formation and maturation stages, carried out in this study served to determine the nature of source rocks, reservoir rocks, bedrock and eventual trapping system of hydrocarbons in Madagascar. This study identified the properties of Madagascar source rocks, reservoir rocks, bedrock and the final oil and gas trap system by cross-referencing the literature and geological research, oil and gas formation and maturity stages, and shows that Madagascar has considerable hydrocarbon potential.
基金Supported by Research Grants from the China Medical Universityand Hospital (DMR-99-041 and CMU-99-NTU-10)the Terry FoxCancer Research Foundation and the National Science Council(NSC 98-2320-B-039-010-MY3)
文摘AIM: To investigate the association of Caveolin-1 (Cav-1) polymorphisms with colorectal cancer (CRC) risk in a central Taiwan Residents population. METHODS: Three hundred and sixty-two patients with colorectal cancer and the same number of recruited age-and gender-matched healthy controls were genotyped. And only those matches with all single nucleotide poly-morphisms data (case/control = 362/362) were selected for final analyzing. RESULTS: There were significant differences between CRC and control groups in the distributions of their genotypes (P = 1.6 × 10 -12 and 3.0 × 10 -4 ) and allelic frequencies (P = 2.3 × 10 -13 and 4.0 × 10 -5 ) in the Cav-1 G14713A (rs3807987) and T29107A (rs7804372) poly-morphisms respectively. As for the haplotype analysis,those who had GG/AT or GG/AA at Cav-1 G14713A/ T29107A showed a 0.68-fold (95% CI: 0.48-0.98) de- creased risk of CRC compared to those with GG/TT,while those of any other combinations were of increased risk. There were joint effects of Cav-1 G14713A and T29107A genotype with smoking status on individual CRC susceptibility. CONCLUSION: This is the first report providing evidence of Cav-1 being involved in CRC and it may be novel useful genomic markers for early detection of CRC.
文摘Cancers are a worldwide concern;oral,esophageal and gastrointestinal cancers represent important causes of cancer-related mortality and contribute to a signif icant burden of human health.The DNA repair systems are the genome caretakers,playing a critical role in the initiation and progression of cancers.However,the association between the genomic variations of DNA repair genes and cancer susceptibility is not well understood.This review focuses on the polymorphic genotypes of the non-homologous end-joining DNA repair system,highlighting the role of two genes of this pathway,XRCC5 and XRCC6,in the susceptibility to digestive system cancers and discussing their potential contributions to personalized medicine.
