AIM: To clarify the usefulness of a new method for performing a pancreaticojejunostomy by using a fast-absorbable suture material irradiated polyglactin 910, and a temporary stent tube for a narrow pancreatic duct wit...AIM: To clarify the usefulness of a new method for performing a pancreaticojejunostomy by using a fast-absorbable suture material irradiated polyglactin 910, and a temporary stent tube for a narrow pancreatic duct with a soft pancreatic texture.METHODS: Among 63 consecutive patients with soft pancreas undergoing a pancreaticoduodenectomy from 2003 to 2006, 35 patients were treated with a new reconstructive method. Briefly, after the pancreatic transaction, a stent tube was inserted into the lumen of the pancreatic duct and ligated with it by a fast-absorbable suture. Another tip of the stent tube was introduced into the intestinal lumen at the jejunal limb, where a purse-string suture was made by another fast-absorbable suture to roughly fix the tube. The pancreaticojejunostomy was completed by ligating two fast-absorbable sutures to approximate the ductal end and the jejunal mucosa, and by adding a rough anastomosis between the pancreatic parenchyma and the seromuscular layer of the jejunum. The initial surgical results with this method were retrospectively compared with those of the 28 patients treated with conventional duct-to-mucosa anastomosis.RESULTS: The incidences of postoperative morbidity including pancreatic fistula were comparable between the two groups (new; 3%-17% vs conventional; 7%-14% according to the definitions). There was no mortality and re-admission. Late complications were also rarely seen.CONCLUSION: A pancreaticojejunostomy using an irradiated polyglactin 910 suture material and a temporary stent is easy to perform and is feasible even in cases with a narrow pancreatic duct and a normal soft pancreas.展开更多
The equipment,such as toiler,pressure vessel and pipeline,subjected to cyclical load suffer failure as a result of the low cycle fatigue (LCF).In this paper,based on the continuum damage mechanics(CDM)theory,the LCF d...The equipment,such as toiler,pressure vessel and pipeline,subjected to cyclical load suffer failure as a result of the low cycle fatigue (LCF).In this paper,based on the continuum damage mechanics(CDM)theory,the LCF damage variable is measured through stress amplitude method during the strain controlled tests,and a continuum damage model of isotropic LCF is derived.The material tested is a 10CrMo910 steel.The LCF damage evolution equation and life estimate have been derived by use of the effective stress concept and the hypothesis of strain equivalence.展开更多
10CrMo910 and 316 stainless steel are widely adopted in high temperature structures of power generations, chemical processing plants and petroleum refineries. In this work, a total of 10000 hour tensile creep test on ...10CrMo910 and 316 stainless steel are widely adopted in high temperature structures of power generations, chemical processing plants and petroleum refineries. In this work, a total of 10000 hour tensile creep test on 16 specimens of such two materials was conducted at 550℃. On the basis of the experimental results, the isochronous stress-strain curves and time-dependent failure assessment curves of the two materials were given. Finally, the formulae of time dependent failure assessment curve for 10CrMo910 and 316 stainless steel corresponding to long-term creep cases, which could be utilized in the high temperature defects assessment, were established. The procedure for defining the time-dependent failure assessment curves was also presented.展开更多
文摘AIM: To clarify the usefulness of a new method for performing a pancreaticojejunostomy by using a fast-absorbable suture material irradiated polyglactin 910, and a temporary stent tube for a narrow pancreatic duct with a soft pancreatic texture.METHODS: Among 63 consecutive patients with soft pancreas undergoing a pancreaticoduodenectomy from 2003 to 2006, 35 patients were treated with a new reconstructive method. Briefly, after the pancreatic transaction, a stent tube was inserted into the lumen of the pancreatic duct and ligated with it by a fast-absorbable suture. Another tip of the stent tube was introduced into the intestinal lumen at the jejunal limb, where a purse-string suture was made by another fast-absorbable suture to roughly fix the tube. The pancreaticojejunostomy was completed by ligating two fast-absorbable sutures to approximate the ductal end and the jejunal mucosa, and by adding a rough anastomosis between the pancreatic parenchyma and the seromuscular layer of the jejunum. The initial surgical results with this method were retrospectively compared with those of the 28 patients treated with conventional duct-to-mucosa anastomosis.RESULTS: The incidences of postoperative morbidity including pancreatic fistula were comparable between the two groups (new; 3%-17% vs conventional; 7%-14% according to the definitions). There was no mortality and re-admission. Late complications were also rarely seen.CONCLUSION: A pancreaticojejunostomy using an irradiated polyglactin 910 suture material and a temporary stent is easy to perform and is feasible even in cases with a narrow pancreatic duct and a normal soft pancreas.
文摘The equipment,such as toiler,pressure vessel and pipeline,subjected to cyclical load suffer failure as a result of the low cycle fatigue (LCF).In this paper,based on the continuum damage mechanics(CDM)theory,the LCF damage variable is measured through stress amplitude method during the strain controlled tests,and a continuum damage model of isotropic LCF is derived.The material tested is a 10CrMo910 steel.The LCF damage evolution equation and life estimate have been derived by use of the effective stress concept and the hypothesis of strain equivalence.
基金supported by the National Natural Science Foundation of China(No.50225517)the Natural Science Foundation of Shanghai(No.03ZR14022)
文摘10CrMo910 and 316 stainless steel are widely adopted in high temperature structures of power generations, chemical processing plants and petroleum refineries. In this work, a total of 10000 hour tensile creep test on 16 specimens of such two materials was conducted at 550℃. On the basis of the experimental results, the isochronous stress-strain curves and time-dependent failure assessment curves of the two materials were given. Finally, the formulae of time dependent failure assessment curve for 10CrMo910 and 316 stainless steel corresponding to long-term creep cases, which could be utilized in the high temperature defects assessment, were established. The procedure for defining the time-dependent failure assessment curves was also presented.
