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交易0 分威望486 点收听数听众数QQ买家信用卖家信用在线时间53 小时相册帖子日志记录好友主题分享注册时间最后登录阅读权限10积分1116精华0UID262289
6.1CH, 积分 1116, 距离下一级还需 884 积分
就是这个帖子的问题:
其实也比较简单,就是更换几个三极管就行了,有靠谱维修店或个人推荐吗?
交易0 分威望486 点收听数听众数QQ买家信用卖家信用在线时间53 小时相册帖子日志记录好友主题分享注册时间最后登录阅读权限10积分1116精华0UID262289
6.1CH, 积分 1116, 距离下一级还需 884 积分
顶一下。。。。
交易0 分威望486 点收听数听众数QQ买家信用卖家信用在线时间53 小时相册帖子日志记录好友主题分享注册时间最后登录阅读权限10积分1116精华0UID262289
6.1CH, 积分 1116, 距离下一级还需 884 积分
。。。。。。。
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Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?Liu-xin CaiFang-qiang WeiYi-chen YuXiu-jun CaiArticleDOI:
10.1631/jzus.B1600180Cai, L., Wei, F., Yu, Y. et al. J. Zhejiang Univ. Sci. B (2. doi:10.1631/jzus.B1600180
The liver hanging maneuver (LHM) is rarely applied in laparoscopic right hepatectomy (LRH) because of the difficulty encountered in retrohepatic tunnel (RT) dissection and tape positioning. Thus far no report has detailed how to quickly and easily establish RT for laparoscopic LHM in LRH, nor has employment of the Goldfinger dissector to create a total RT been reported. This study’s aim was to evaluate the safety and feasibility of establishing RT for laparoscopic LHM using the Goldfinger dissector in LRH.Between March 2015 and July 2015, five consecutive patients underwent LRH via the caudal approach with laparoscopic LHM. A five-step strategy using the Goldfinger dissector to establish RT for laparoscopic LHM was adopted. Perioperative data were analyzed.The median age of patients was 58 (range, 51–65) years. Surgery was performed for one intrahepatic lithiasis and four hepatocellular carcinomas with a median size of 90 (40–150) mm. The median operative time was 320 (282–358) min with a median blood loss of 200 (200–600) ml. Laparoscopic LHM was achieved in a median of 31 (21–62) min, and the median postoperative hospital stay was 14 (9–16) d. No transfusion or conversion was required, and no severe liver-related morbidity or death was observed.The Goldfinger dissector is a useful instrument for the establishment of RT. A five-step strategy using the Goldfinger dissector can quickly and easily facilitate an RT for a laparoscopic LHM in LRH.Retrohepatic tunnel Liver hanging maneuver Goldfinger dissector Laparoscopic right hepatectomy 评估金手指在腹腔镜右半肝切除术中快速简易建 立肝后隧道实行绕肝带提拉的可行性和安全性。在腹腔镜右半肝中很少采用绕肝带提拉,这是因 为在腹腔镜下解剖肝后隧道和置放绕肝带难度 极大。本文首次详细报道在腹腔镜右半肝切除术 中快速简易建立肝后隧道来实行绕肝带提拉,同 时首次报道运用金手指在腹腔镜下建立完整的 肝后隧道。选取2015 年3 月至7 月间5 例连续接受前入路腹 腔镜右半肝切除术并行绕肝带提拉的患者为研 究对象,运用金手指在腹腔镜下进行5 步法建立 肝后隧道,收集和研究这些患者的手术资料。这5 例患者的中位年龄为58 岁(范围51~65 岁)。 其中,1 例患有肝内胆管结石,4 例患有肝细胞性 肝癌。肿瘤中位直径为90 mm(范围40~150 mm), 手术中位时间为320 min(范围282~358 min), 中位失血量为200 ml(范围200~600 ml),腹腔 镜下绕肝带提拉中位完成时间为31 min(范围 21~62 min),术后中位住院时间为14 d(范围 9~16 d)。术中未行输血,未发生中转开腹;术 后并未发生严重肝脏并发症,无患者死亡。因此 运用金手指进行肝后隧道建立是有效可行的。采 取5 步法可快速简易建立肝后隧道,有助于在腹 腔镜右半肝切除术中安全有效进行绕肝带提拉。肝后隧道 绕肝带提拉 金手指 腹腔镜右半肝切除术 Download to read the full article text (910 kb)Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?Belghiti, J., Guevara, O.A., Noun, R., et al., 2001. Liver hanging maneuver: a safe approach to right hepatectomy without liver mobilization. J. Am. Coll. Surg.,
193(1): 109–111. http//dx.doi.org/10.-09-7Beppu, T., Ishiko, T., Chikamoto, A., et al., 2012. Liver hanging maneuver decreases blood loss and operative time in a right-side hepatectomy. Hepatogastroenterology,
59(114):542–545. http//dx.doi.org/10.5754/hge09737Cai, X.J., Li, Z.Y., Zhang, Y.L., et al., 2014. Laparoscopic liver resection and the learning curve: a 14-year, singlecenter experience. Surg. Endosc.,
28(4):. http//dx.doi.org/10.-013-3333-5Cai, X.J., Duan, L., Wang, Y.F., et al., 2016. Laparoscopic hepatectomy by curettage and aspiration: a report of 855 cases. Surg. Endosc.,
30(7):. http//dx.doi.org/10.-015-4576-0Ceelen, W., Walder, J., Cardon, A., et al., 2003. Surgical treatment of severe obesity with a low-pressure adjustable gastric band: experimental data and clinical results in 625 patients. Ann. Surg.,
237(1):10–16.Clavien, P.A., Barkun, J., de Oliveira, M.L., et al., 2009. The Clavien-Dindo classification of surgical complications: five-year experience. Ann. Surg.,
250(2):187–196. http//dx.doi.org/10.1097/SLA.0b013eDagher, I., Caillard, C., Proske, J.M., et al., 2008. Laparoscopic right hepatectomy: original technique and results. J. Am. Coll. Surg.,
206(4):756–760. http//dx.doi.org/10.1016/j.jamcollsurg.Dagher, I., di Giuro, G.J., Dubrez, J., et al., 2009. Laparoscopic versus open right hepatectomy: a comparative study. Am. J. Surg.,
198(2):173–177. http//dx.doi.org/10.1016/j.amjsurg.Dokmak, S., Ben Safta, Y., Ftériche, F.S., et al., 2014. Pure laparoscopic right hepatectomy with the hanging maneuver for multiple hepatocellular adenomas. Ann. Surg. Oncol.,
21(12):. http//dx.doi.org/10.-014-3809-0Gayet, B., Cavaliere, D., Vibert, E., et al., 2007. Totally laparoscopic right hepatectomy. Am. J. Surg.,
194(5):685–689. http//dx.doi.org/10.1016/j.amjsurg.Han, H.S., Yoon, Y.S., Cho, J.Y., et al., 2010. Laparoscopic right hemihepatectomy for hepatocellular carcinoma. Ann. Surg. Oncol.,
17(8):. http//dx.doi.org/10.-010-1066-4Kim, J.H., Ryu, D.H., Jang, L.C., et al., 2016. Lateral approach liver hanging maneuver in laparoscopic anatomical liver resections. Surg. Endosc.,
30(8):. http//dx.doi.org/10.-015-4663-2Lai, E.C.S., Fan, S.T., Lo, C.M., et al., 1996. Anterior approach for difficult major right hepatectomy. World J. Surg.,
20(3):314–318. http//dx.doi.org/10.900050Lainas, P., Camerlo, A., Conrad, C., et al., 2015. Laparoscopic right hepatectomy combined with partial diaphragmatic resection for colorectal liver metastases: is it feasible and reasonable? Surgery, 158(1):128–134. http//dx.doi.org/10.1016/j.surg.Medbery, R.L., Chadid, T.S., Sweeney, J.F., et al., 2014. Laparoscopic vs open right hepatectomy: a value-based analysis. J. Am. Coll. Surg.,
218(5):929–939. http//dx.doi.org/10.1016/j.jamcollsurg.Nguyen, K.T., Gamblin, T.C., Geller, D.A., 2009. World review of laparoscopic liver resection—2804 patients. Ann. Surg.,
250(5):831–841. http//dx.doi.org/10.1097/SLA.0b013edfPearce, N.W., di Fabio, F., Teng, M.J., et al., 2011. Laparoscopic right hepatectomy: a challenging, but feasible, safe and efficient procedure. Am. J. Surg., 202(5):e52–e58. http//dx.doi.org/10.1016/j.amjsurg.Qin, Q., Wang, L., Li, H., et al., 2012. Efficacy and safety of right hemihepatectomy through the right retrohepatic tunnel. Cell Biochem. Biophys.,
62(1):113–118. http//dx.doi.org/10.-011-9268-3Tzanis, D., Shivathirthan, N., Laurent, A., et al., 2013. European experience of laparoscopic major hepatectomy. J. Hepatobiliary Pancreat. Sci.,
20(2):120–124. http//dx.doi.org/10.-012-0554-2Wakabayashi, G., Cherqui, D., Geller, D.A., et al., 2015. Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka. Ann. Surg.,
261(4):619–629. http//dx.doi.org/10.1097/SLA.1184Wang, C.C., Jawade, K., Yap, A.Q., et al., 2010. Resection of large hepatocellular carcinoma using the combination of liver hanging maneuver and anterior approach. World J. Surg.,
34(8):. http//dx.doi.org/10.-010-0546-9Wu, T.J., Wang, F., Lin, Y.S., et al., 2010. Right hepatectomy by the anterior method with liver hanging versus conventional approach for large hepatocellular carcinomas. Br. J. Surg.,
97(7):. http//dx.doi.org/10.1002/bjs.7083Liu-xin Cai1Fang-qiang Wei1Yi-chen Yu1Xiu-jun Cai11.Department of General SurgeryInstitute of Minimally Invasive Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang UniversityHangzhouChina
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> 2017个人简历中应当突出哪些技能
2017个人简历中应当突出哪些技能
一、处理问题的才能每天，我们都要在生活和工作中处理一些综合性的问题。那些可以发现问题、处理问题并疾速作出有效决断的人行情将持续升温，在商业运营、管理咨询、公共管理、科学、医药和工程范畴需求量骤增。二、专业技艺如今，技术曾经进入了人类活动的一切范畴。工程、通讯、汽车、交通、航空航天范畴需求大量可以对电力、电子和机械设备停止装置、调试和修理的专业人员。三、沟通才能一切的公司都不可防止空中临内部雇员如何相处的问题。一个公司的胜利很多时分取决于全体职员能否团结协作。因而，人力资源经理、人事部门官员和管理决策部门必需尽量理解职员的需求并在允许的范围内尽量予以满足。四、计算机编程技艺假如你可以应用计算机编程的办法满足某个公司的特定需求，那么你取得工作的时机将大大增加。因而，你需求控制c++， java， html， visual basic， unix和sql server等计算机言语。五、培训技艺现代社会一天产生和搜集到的数据比古代社会一年的还要多。因而，可以在教育、社区效劳、管理谐和和商业方面停止培训的人才的需求量逐年增加。文章地址：/qiuzhijianli/jianlizhizuo/415016.htm下页更精彩1
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