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| 1 | Comparison of Wirsung-jejunal duct-tomucosa and dunking technique for pancreatojejunostomy after pancreatoduodenectomy显示文摘Pancreato-enteric reconstruction after pancreatoduodenectomy (PD) is still a source of debate because of the high incidence of complications. Among the various types of pancreato-jejunostomies we don’t know yet which is the best in terms of anastomotic failure and related complications rates. Wirsung-jejunal duct-to-mucosa anastomosis (WJ) and 'dunking' pancreato-jejunal anastomosis (DPJ) are the two most used ones worldwide but conflicting results are reported. To determine which is the safer anastomosis and to define when an anastomosis should be preferred, we retrospectively reviewed two groups of patients who underwent WJ or DPJ. METHODS:Twenty-three patients underwent PD with WJ (n=17) with dilated (WJD) (n=9) or not-dilated Wirsung’s duct (WJND) (n=8) or with a DPJ (n=6) over a 3-year period at a single institution. RESULTS: The complications rate was high in all groups of patients (33.3% in WJD, 37.5% in WJND and 66.7% in DPJ). A pancreatic fistula developed in one patient in each group (11. 1% in WJD, 12. 5% in WJND and 16. 7% in DPJ). All these patients were managed conservatively. Anastomotic disruption took place in the WJ patients especially in the WJND group (n=2) compared to the WJD (n=1) (25% vs 11.1%) or DPJ groups (0%) : these three patients required a re-operation. Overall, the anastomotic defects were higher in patients who underwent WJND (37.5%), compared to WJD (22.2%) and to DPJ (16.7%). However, no statistical differences were found among the groups. Delayed gastric emptying (DGE) and total parenteral nutrition (TPN) along with anastomotic defects were responsible for a prolonged hospital stay. CONCLUSIONS:Our results were not able to demonstrate any statistical difference between the two different techniques in preventing anastomotic failure. WJ can represent a valid choice in case of a dilated duct and a firm, fibrotic enlarged gland that could not be properly invaginated in a small jejunal loop. DGE may occur in those patients who experienced an anastomotic failure and required a TPN regimen with a prolonged hospital stay. | Unita di Chirurgia, Dipartimento di Fisiopatologia Clinica (Batignani G, Fratini G, Zuckermann M and Tonelli F) and Dipartimento di Statistica (Bianchini E), Universitd degli Studi di Firenze, Flo rence, Italy | 2005 | Hepatobiliary & Pancreatic Diseases International2005，4，3： | 9 |
| 2 | 钢包和中间包内衬耐火材料与碳钢的化学反应显示文摘在有些情况下,对钢产品内部质量的影响并不取决于生产过程中的误操作,而是低估了液态钢水与不同工序中接触到的材料间的化学反应。尤其是在铸锭生产中,这一点尤为明显。讨论了钢包与中间包内衬耐材与普碳钢间发生的化学反应。这些试验涉及高铝质、铝硅质、铝镁尖晶石质耐火材料,研究了它们在液态钢水中形成夹杂物的倾向性。试验结果表明,在钢水—耐材接触面上会产生一个富含MnO的新相,这一新相的量与二氧化硅在耐材中的活性及锰在钢液里的活性成正比。试验还表明,由液态钢水与耐火材料相互反应产生的接触面可产生新的外来夹杂物进入钢液中。试验结束后,对钢样中新的夹杂物成分做的分析表明,成分取决于耐材—钢水接触面的组成。因此,不同钢厂应该结合自身生产的钢种产品化学组成来选用耐火材料的化学成分设计。 | F Cirilli A Mazzarano M Tonelli 沈钟铭(译) 职建军(校) | 2012 | 世界钢铁2012，12，4： | 3 |
| 3 | New fluorinated thermoplastic elastomers显示文摘 | Tonelli C Trombetta T Scicchitano M | 1996 | Journal of Applied Polymer Science1996，59，2： | 1 |
| 4 | Efficient visible laser emission of GaN laser diode pumped Pr-doped fluoride crystals显示文摘 | F Cornacchia A Di Lieto M Tonelli | 2008 | Opt Express2008，16，15： | 1 |
| 5 | Factors associated with access blood flow in native vessel arteriovenous fistulae 显示文摘 | Tonelli M Hirsch D J Chan C T | 2004 | Nephrol Dial Transplant2004，19，25： | 1 |
| 6 | Er:LiGdF4晶体生长及光谱性能显示文摘采用提拉法生长出掺铒氟化钆锂(Er3+:LiGdF4,Er:LGF)激光晶体。晶体生长工艺参数为:提拉速率为0.16mm/h,晶体转速为3r/min,冷却速率为10℃/h。X射线粉末衍射分析表明:晶体属于四方晶系,白钨矿结构,空间群为I41/a,计算的晶胞参数:a=0.5196nm,c=1.10286nm。晶体的吸收光谱和荧光光谱表明:晶体在659,980nm和1540nm附近的吸收峰较强,其中在1540nm处的吸收截面为1.09×10-20cm2。在激光二极管的532nm波长泵浦下,发射峰分别位于995nm和1530nm附近,其中1530nm处的半高宽为52nm。 | 李春 张莹 张学建 林海 TONELLI M Di LIETO A 王成伟 曾繁明 刘景和 | 2010 | 硅酸盐学报2010，38，10： | 1 |
| 7 | Early recognition and prevention of chronic kidney disease显示文摘 | James MT Hemmelgarn BR Tonelli M | 2010 | Lancet2010，375，9722： | 1 |
| 8 | Relation between red btood cell distribution width and cardiovascular event rate, in people wilh coronary disease显示文摘 | Tonelli M Sacks F Arnold M | 2008 | Circulation2008，117，2： | 1 |
| 9 | Relation between red blood cell distribution width and cardiovascular event rate in people with coronary disease显示文摘 | Tonelli M Sacks F Arnold M | | 0，，2： | 1 |
| 10 | Gemfibrozil for secondary prevention of cardiovascular events in mild to moderate chronic renal insufficiency显示文摘 | TONELLI M COLLINS D ROBINS S | 2004 | Kidney Int2004，66，3： | 1 |
| 11 | Structural studies of Bombyx mori silk fibroin during regeneration from solutions and wet fiber spinning 显示文摘 | Ha S W Tonelli A E Hudson S M | 2005 | Biomacromolecules2005，6，3： | 1 |
| 12 | Phosphate binder choice in dialysis patients: a call for evidence-based rather than marketing-based clinical practice 显示文摘 | Winkelmayer WC Tonelli M | 2008 | Am J Kidney Dis2008，51，3： | 1 |
| 13 | Relation between serum phosphate level and cardiovascular event rate in people with coronary disease显示文摘 | Tonelli M Sacks F | 2005 | Circulation2005，112，17： | 1 |
| 14 | Acute renal failure in the intensive care unit: a systematic review of the impact of dialytic modality on mortality and renal recovery.显示文摘 | Tonelli M Manns B Feller-Kopman D | | 0，，： | 1 |
| 15 | Formation of and Coalescence from the Inclusion Complex of a Biodegradable Block Copolymer and a-Cyclodextrin: A Novel Means to Modify the Phase Structure of Biodegradable Block Copolymers显示文摘 | Shuai XT Porbeni FE Wei M Tonelli AE | 2001 | Macromolecules2001，34，21： | 1 |
| 16 | Clinical risk im- plications of the CKD Epidemiology Collaboration(CKD- EPI) equation compared with the Modification of Diet in Renal Disease( MDRD) Study equation for estimated GFR 显示文摘 | Matsushita K Tonelli M Lloyd A | 2012 | Am J Kidney Dis2012，60，2： | 1 |
| 17 | Relation between red blood cell distribution width and cardiovascular event rate in people with coronary disease显示文摘 | Tonelli M Sacks F Arnold M | 2008 | Circulatlion2008，117，2： | 1 |
| 18 | Prognostic value of troponin T and I among asymptomatic patients with end -stage renal disease: a meta -analysis 显示文摘 | Khan NA Hemmelgarn BR Tonelli M | 2005 | Circulation2005，112，20： | 1 |
| 19 | Effect of pravastatin on cardiovascular events in people with chronic kidney disease显示文摘 | Tonelli M Isles C Curhan GC | | 0，，： | 1 |
| 20 | Cardiovascular risk and management in chronic kidney disease显示文摘 | Rucker D Tonelli M | | 0，，05： | 1 |
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