BACKGROUND In esophageal squamous carcinoma,lymphadenectomy along the left recurrent laryngeal nerve(RLN)is recommended owing to its highly metastatic potential.However,this procedure is difficult due to limited worki...BACKGROUND In esophageal squamous carcinoma,lymphadenectomy along the left recurrent laryngeal nerve(RLN)is recommended owing to its highly metastatic potential.However,this procedure is difficult due to limited working space in the left upper mediastinum,and increases postoperative complications.AIM To present a novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position.METHODS The fundamental concept of this novel method is to exfoliate a bilateral pedicled nerve flap,which is a two-dimensional membrane,which includes the left RLN,lymph nodes(LNs)along the left RLN,and tracheoesophageal vessels,by suspending the esophagus to the dorsal side and pushing the trachea to the ventral side(named“bilateral exposure method”).Then,the hollow-out method is performed to transform the two-dimensional membrane to a three-dimensional structure,in which the left RLN and tracheoesophageal vessels are easily distinguished and preserved during lymphadenectomy along the left RLN.This novel method was retrospectively evaluated in 116 consecutive patients with esophageal squamous carcinoma from August 2016 to February 2018.RESULTS There were 58 patients in each group.No significant difference was found between the two groups in terms of age,gender,postoperative pneumonia,anastomotic fistula,and postoperative hospitalization.However,the number of dissected LNs along the left RLN in this novel method was significantly higher than that in the conventional method(4.17±0.359 vs 2.93±0.463,P=0.0447).Moreover,the operative time and the rate of postoperative hoarseness in the novel method were significantly lower than those in the conventional method(306.0±6.774 vs 335.2±7.750,P=0.0054;4/58 vs 12/58,P=0.0312).CONCLUSION This novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position is much safer and more effective.展开更多
To fabricate thick-walled hollow glass microspheres (HGMs) for inertial confinement fusion (ICF) targets by sol-gel technology, we investigated the effects of glass composition, blowing agent, refining temperature...To fabricate thick-walled hollow glass microspheres (HGMs) for inertial confinement fusion (ICF) targets by sol-gel technology, we investigated the effects of glass composition, blowing agent, refining temperature, pressure and composition of furnace atmosphere on the wall thickness of HGMs by numerical simulation and experiments. The results showed that the residence times of the thick-walled HGMs in the encapsulating and refining phases decreased with the increase of wall thickness of HGMs. As a response to this challenge, glass composition must be optimized with the object of high surface tension and low viscosity at refining temperature, and the blowing agents with high decomposition temperature should be used, furthermore the concentration of blowing agents in gel particles must also be precisely controlled. The higher volume fraction of argon gas in the furnace atmosphere, the thicker the wall of HGMs. Due to the limited operating range of furnace atmosphere pressure, changing furnace atmosphere pressure could not significantly increase the wall thickness of HGMs. Although increasing refin- ing temperature can improve the yield of high quality HGMs, a higher furnace atmosphere temperature may lead to a decrease in the wall thickness of HGMs. When the volume fraction of argon gas in the furnace atmosphere ranged from 80% to 95%, the furnace atmosphere pressure ranged from 1.0×l0^5 Pa to 1.25×105 Pa, and the refining temperature ranged from 1600℃ to 1800℃, we produced thick-walled (5-10 ktrn) HGMs with good sphericity, wall thickness uniformity and surface finish. However, the yield of high quality HGMs needs to be further improved. The compressive strength, tensile strength and permeation coefficient to deuterium gas of thick-walled HGMs at ambient temperature decreased with increase of the wall thickness.展开更多
Generating hollow structure inside titanium silicalite-1(TS-1)is a widely used method to improve its liquid-phase oxidation catalytic performance in industry.However,traditional dissolution-recrystallization method us...Generating hollow structure inside titanium silicalite-1(TS-1)is a widely used method to improve its liquid-phase oxidation catalytic performance in industry.However,traditional dissolution-recrystallization method usually required a large amount of aqueous solution of organic template,leading to unfavorable polluted waste,low production efficiency,and high manufacture cost.Here,a facile and environmental friendly strategy was proposed for the post-synthesis of hollow TS-1 zeolite with a solventfree method utilizing NH4HCO3 and tetrapropylammounium bromide as selective etching agents,which reduced the usage of organic template and avoided the liquid waste.The high crystallinity,the microporous structure,and the active Ti sites were preserved at a high product yield(>93%).The formation mechanism of hollow structure was also investigated by exploring effects of different reactants and experimental parameters.Meanwhile,the obtained hollow TS-1 showed an outstanding performance in the epoxidation of 1-hexene in comparison to the parent zeolite.展开更多
文摘BACKGROUND In esophageal squamous carcinoma,lymphadenectomy along the left recurrent laryngeal nerve(RLN)is recommended owing to its highly metastatic potential.However,this procedure is difficult due to limited working space in the left upper mediastinum,and increases postoperative complications.AIM To present a novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position.METHODS The fundamental concept of this novel method is to exfoliate a bilateral pedicled nerve flap,which is a two-dimensional membrane,which includes the left RLN,lymph nodes(LNs)along the left RLN,and tracheoesophageal vessels,by suspending the esophagus to the dorsal side and pushing the trachea to the ventral side(named“bilateral exposure method”).Then,the hollow-out method is performed to transform the two-dimensional membrane to a three-dimensional structure,in which the left RLN and tracheoesophageal vessels are easily distinguished and preserved during lymphadenectomy along the left RLN.This novel method was retrospectively evaluated in 116 consecutive patients with esophageal squamous carcinoma from August 2016 to February 2018.RESULTS There were 58 patients in each group.No significant difference was found between the two groups in terms of age,gender,postoperative pneumonia,anastomotic fistula,and postoperative hospitalization.However,the number of dissected LNs along the left RLN in this novel method was significantly higher than that in the conventional method(4.17±0.359 vs 2.93±0.463,P=0.0447).Moreover,the operative time and the rate of postoperative hoarseness in the novel method were significantly lower than those in the conventional method(306.0±6.774 vs 335.2±7.750,P=0.0054;4/58 vs 12/58,P=0.0312).CONCLUSION This novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position is much safer and more effective.
基金supported by the Chinese Key Laboratory of Science and Technology for Defense(Grant No.91400C680603090C68)
文摘To fabricate thick-walled hollow glass microspheres (HGMs) for inertial confinement fusion (ICF) targets by sol-gel technology, we investigated the effects of glass composition, blowing agent, refining temperature, pressure and composition of furnace atmosphere on the wall thickness of HGMs by numerical simulation and experiments. The results showed that the residence times of the thick-walled HGMs in the encapsulating and refining phases decreased with the increase of wall thickness of HGMs. As a response to this challenge, glass composition must be optimized with the object of high surface tension and low viscosity at refining temperature, and the blowing agents with high decomposition temperature should be used, furthermore the concentration of blowing agents in gel particles must also be precisely controlled. The higher volume fraction of argon gas in the furnace atmosphere, the thicker the wall of HGMs. Due to the limited operating range of furnace atmosphere pressure, changing furnace atmosphere pressure could not significantly increase the wall thickness of HGMs. Although increasing refin- ing temperature can improve the yield of high quality HGMs, a higher furnace atmosphere temperature may lead to a decrease in the wall thickness of HGMs. When the volume fraction of argon gas in the furnace atmosphere ranged from 80% to 95%, the furnace atmosphere pressure ranged from 1.0×l0^5 Pa to 1.25×105 Pa, and the refining temperature ranged from 1600℃ to 1800℃, we produced thick-walled (5-10 ktrn) HGMs with good sphericity, wall thickness uniformity and surface finish. However, the yield of high quality HGMs needs to be further improved. The compressive strength, tensile strength and permeation coefficient to deuterium gas of thick-walled HGMs at ambient temperature decreased with increase of the wall thickness.
基金This work was supported by the National Natural Science Foundation of China(Nos.21875140,21835002,21522105,and 51861145313)the Shanghai Science and Technology Plan(No.21DZ2260400)+4 种基金the China Ministry of Science and Technology(No.2021YFA1501401)The authors thank the support from Analytical Instrumentation Center(No.SPSTAIC10112914)SPST,ShanghaiTech UniversityThe authors also thank Prof.Osamu Terasaki and CħEM SPST,ShanghaiTech University(No.EM02161943)for scientific and characterization support.Y.F.thanks Junyan Li(Jilin University)for his assistance in 3D tomographic data collection.
文摘Generating hollow structure inside titanium silicalite-1(TS-1)is a widely used method to improve its liquid-phase oxidation catalytic performance in industry.However,traditional dissolution-recrystallization method usually required a large amount of aqueous solution of organic template,leading to unfavorable polluted waste,low production efficiency,and high manufacture cost.Here,a facile and environmental friendly strategy was proposed for the post-synthesis of hollow TS-1 zeolite with a solventfree method utilizing NH4HCO3 and tetrapropylammounium bromide as selective etching agents,which reduced the usage of organic template and avoided the liquid waste.The high crystallinity,the microporous structure,and the active Ti sites were preserved at a high product yield(>93%).The formation mechanism of hollow structure was also investigated by exploring effects of different reactants and experimental parameters.Meanwhile,the obtained hollow TS-1 showed an outstanding performance in the epoxidation of 1-hexene in comparison to the parent zeolite.