BACKGROUND: The robotic surgical system overcomes many technological obstacles of conventional laparoscopic surgery, and possesses enormous clinical applied potential. The aim of this study was to compare the efficacy...BACKGROUND: The robotic surgical system overcomes many technological obstacles of conventional laparoscopic surgery, and possesses enormous clinical applied potential. The aim of this study was to compare the efficacy of Zeus robot-assisted laparoscopic cholecystectomy with conventional laparoscopic cholecystectomy. METHODS: Forty patients undergoing elective cholecystectomy were randomly divided into two groups. Patients in group A (n=20) underwent Zeus robot-assisted laparoscopic cholecystectomy, and patients in group B (n=20) received conventional laparoscopic cholecystectomy. The parameters on operative field, operative time, the number of actions, the rate of operative errors and minimal trauma were evaluated and compared between the two groups. RESULTS: The number of cleating camera (1.1±1.0 times) and the time of adjusting the operative field (2.2±0.7 minutes) in group A were significantly less than those (4.5±1.5 times) and (7.5±1.2 minutes) in group B. The number of dissection actions (337±86 times) and the rate of operative errors (10%) in group A were less than those (389±94 times), (25%) in group B. The total operation time (104.9±20.5 minutes) and setup time (29.5±9.8 minutes) in group A were significandy longer than those (78.6±17.1 minutes), (12.6±2.5 minutes) in group B. Blood loss and postoperative hospitalization were similar. No postoperative complications occurred in both groups, and open cholecystectomy was performed in each group. CONCLUSIONS: Zeus robot-assisted cholecystectomy inherits the benefits of minimally invasive surgery. The Zeus robotic surgical system is better than conventional laparoscopic technique in controlling the operative field and can be manipulated precisely and stablely though it requires more operative time.展开更多
AIM： To summarize the performing essentials and analyze the characteristics of remote Zeus robot-assisted laparoscopic cholecystectomy. METHODS： Robot-assisted laparoscopic cholecystectomy was performed in 40 patien...AIM： To summarize the performing essentials and analyze the characteristics of remote Zeus robot-assisted laparoscopic cholecystectomy. METHODS： Robot-assisted laparoscopic cholecystectomy was performed in 40 patients between May 2004 and July 2005. The operating procedures and a variety of clinical parameters were recorded and analyzed. RESULTS： Forty laparoscopic cholecystectomy procedures were successfully completed with Zeus robotic system. And there were no post-operative complications. Total operating time, system setup time and performing time were 100.3±18.5 min, 27.7±8.8 min and 65.6±18.3 min, respectively. The blood loss and postoperative hospital stay were 30.6±10.2 mL and 2.8±0.8 d, respectively. Camera clearing times and time used for operative field adjustment were 1.1±1.0 min and 2.0±0.8 rain, respectively. The operative error was 7.5%. CONCLUSION： Robot-assisted laparoscopic cholecystectomy following the principles of laparoscopic operation has specific performing essentials. It preserves the benefits of minimally invasive surgery and offers enhanced ability of controlling operation field, precise and stable operative manipulations.展开更多
ZEUS is a magnetohydrodynamics simulation code widely used in astrophysical research.However,it was recently found that the code may produce artificial shocks in the rarefaction region in some numerical tests since it...ZEUS is a magnetohydrodynamics simulation code widely used in astrophysical research.However,it was recently found that the code may produce artificial shocks in the rarefaction region in some numerical tests since it is not upwinded in fast and slow waves.We propose a method of magnetosonic characteristics to evolve compressional waves.The tests indicate that this method cures the "rarefaction shocks" problem to a large extent and it also greatly reduces some post shock oscillations.展开更多
Owing to the fast growth of global market,textile and apparel industries which are a typical seasonal business are facing crucial challenges from both competitors and consumers.In order to get survived,forming supply ...Owing to the fast growth of global market,textile and apparel industries which are a typical seasonal business are facing crucial challenges from both competitors and consumers.In order to get survived,forming supply chain and utilizing the emerged technology to establish a quick response system become an important common practice for enterprises in terms of cost reduction and efficiency improvement.This paper presents a multi-agent-based integrated framework for quick response in textile and apparel supply chain.By sharing information and collaborating among chain partner,the multi-agent system provides a promising computing paradigm for quick response business processes.A prototype based on the proposed framework is implemented using ZEUS toolkit.It presents how the proposed architecture is being designed to establish collaborative business environment by providing dynamic quick response processes.展开更多
基金The study was supported by a grant from the Jie-Ping Wu Medical Foundation China (No. 2003-49-A).
文摘BACKGROUND: The robotic surgical system overcomes many technological obstacles of conventional laparoscopic surgery, and possesses enormous clinical applied potential. The aim of this study was to compare the efficacy of Zeus robot-assisted laparoscopic cholecystectomy with conventional laparoscopic cholecystectomy. METHODS: Forty patients undergoing elective cholecystectomy were randomly divided into two groups. Patients in group A (n=20) underwent Zeus robot-assisted laparoscopic cholecystectomy, and patients in group B (n=20) received conventional laparoscopic cholecystectomy. The parameters on operative field, operative time, the number of actions, the rate of operative errors and minimal trauma were evaluated and compared between the two groups. RESULTS: The number of cleating camera (1.1±1.0 times) and the time of adjusting the operative field (2.2±0.7 minutes) in group A were significantly less than those (4.5±1.5 times) and (7.5±1.2 minutes) in group B. The number of dissection actions (337±86 times) and the rate of operative errors (10%) in group A were less than those (389±94 times), (25%) in group B. The total operation time (104.9±20.5 minutes) and setup time (29.5±9.8 minutes) in group A were significandy longer than those (78.6±17.1 minutes), (12.6±2.5 minutes) in group B. Blood loss and postoperative hospitalization were similar. No postoperative complications occurred in both groups, and open cholecystectomy was performed in each group. CONCLUSIONS: Zeus robot-assisted cholecystectomy inherits the benefits of minimally invasive surgery. The Zeus robotic surgical system is better than conventional laparoscopic technique in controlling the operative field and can be manipulated precisely and stablely though it requires more operative time.
基金Supported by the Jieping Wu Medical Foundation, No.2003-49-A
文摘AIM： To summarize the performing essentials and analyze the characteristics of remote Zeus robot-assisted laparoscopic cholecystectomy. METHODS： Robot-assisted laparoscopic cholecystectomy was performed in 40 patients between May 2004 and July 2005. The operating procedures and a variety of clinical parameters were recorded and analyzed. RESULTS： Forty laparoscopic cholecystectomy procedures were successfully completed with Zeus robotic system. And there were no post-operative complications. Total operating time, system setup time and performing time were 100.3±18.5 min, 27.7±8.8 min and 65.6±18.3 min, respectively. The blood loss and postoperative hospital stay were 30.6±10.2 mL and 2.8±0.8 d, respectively. Camera clearing times and time used for operative field adjustment were 1.1±1.0 min and 2.0±0.8 rain, respectively. The operative error was 7.5%. CONCLUSION： Robot-assisted laparoscopic cholecystectomy following the principles of laparoscopic operation has specific performing essentials. It preserves the benefits of minimally invasive surgery and offers enhanced ability of controlling operation field, precise and stable operative manipulations.
基金supported by the National Basic Research Program of China(Grant No. 2011CB811406)the National Natural Science Foundation of China (Grant Nos. 10921303,10733020,10803011,40890161 and10973020)
文摘ZEUS is a magnetohydrodynamics simulation code widely used in astrophysical research.However,it was recently found that the code may produce artificial shocks in the rarefaction region in some numerical tests since it is not upwinded in fast and slow waves.We propose a method of magnetosonic characteristics to evolve compressional waves.The tests indicate that this method cures the "rarefaction shocks" problem to a large extent and it also greatly reduces some post shock oscillations.
基金Supported by National Natural Science Foundation of China(No.70772073)Shanghai Social Science Foundation(No.2007BZH001)Shanghai Natural Science Foundation(No.07ZR14003)
文摘Owing to the fast growth of global market,textile and apparel industries which are a typical seasonal business are facing crucial challenges from both competitors and consumers.In order to get survived,forming supply chain and utilizing the emerged technology to establish a quick response system become an important common practice for enterprises in terms of cost reduction and efficiency improvement.This paper presents a multi-agent-based integrated framework for quick response in textile and apparel supply chain.By sharing information and collaborating among chain partner,the multi-agent system provides a promising computing paradigm for quick response business processes.A prototype based on the proposed framework is implemented using ZEUS toolkit.It presents how the proposed architecture is being designed to establish collaborative business environment by providing dynamic quick response processes.
