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| 1 | 机器人辅助腹腔镜根治前列腺切除术的外科学习曲线:一名外科医生500病例的经验显示文摘本文分析了机器人辅助腹腔镜根治前列腺切除术(RALP)初期250例和后期250例患者。500位连续接受RALP的临床局部前列腺癌患者分为第Ⅰ组:第1-250案(2006年12月-2010年12月)和第Ⅱ组:第251-500案(2011年1月-2012年12月)。记录两组的临床特点,比较两组的操作参数和手术期并发症。评估病理结果、肿瘤细胞残留手术组织边缘和生化复发率(BCR)。我们从每50个RALP案例中分析肿瘤细胞残留手术组织边缘fPSM)和神经血管束(NVB)保留,局部肿瘤的复发风险和病理分期的关系。第Ⅱ组比第1组有更多的晚期前列腺癌(切片检查格里森分数8—10,P=0.033:临床分期T3,P=0.叭7),并呈现显著性差异。控制台时间和失血从第Ⅰ组到第Ⅱ组大幅下降(控制台时间为165.16±53.51min vs 103.37±22.04min;失血为174.56±201.32ml vs 99.80±104.77m1)。输血在第1组减少3.2%(8/250)vs第Ⅱ组减少1.2%(3/250)以及手术期并发症比率在第1组减少9.6%(24/250)VS第Ⅱ组减少5.6%(14/250)。pT3的肿瘤细胞残留手术组织边缘N49%(第1组)降到32.6%(第Ⅱ组)。每50个案例减少肿瘤细胞残留手术组织边缘(PSM)的重要趋势,包括pT3和高度危险。神经血管束(NVB)保留会严重影响高度危险患者的肿瘤细胞残留手术组织边缘(PSM)(84.1%NVB保留群vs 43.9%NVB保留群)。3年、5年和7年无BCR的幸存者分别为79.2%、75.3%和70.2%。T3的肿瘤细胞残留手术组织边缘自初期250个案例的49%大幅下降到随后250个的32.9%。每50个案例减少PSM的重要趋势,包括pT3和高度危险。因为PSM的增加,在RALP期间不建议对高度危险的前列腺癌进行神经血管束保留。 | Yen-Chuan OU Chun-Kuang Yang Kuangh-Si Chang John Wang Siu-Wan Hung Min-Che Tung Ashutosh K Tewari Vipul R Patel | 2014 | Asian Journal of Andrology2014，16，5： | 3 |
| 2 | Computerized tomography based “patient specific blocks” improve postoperative mechanical alignment in primary total knee arthroplasty显示文摘AIM: To compare the postoperative mechanical alignment achieved after total knee arthroplasty(TKA) using computer tomography(CT) based patient specific blocks(PSB) to conventional instruments(CI).METHODS: Total 80 knees were included in the study, with 40 knees in both the groups operated using PSB and CI. All the knees were performed by a single surgeon using the same cruciate sacrificing implants. In our study we used CT based PSB to compare with CI. Postoperative mechanical femoro-tibial angle(MFT angle) was measured on long leg x-rays using picture archiving and communication system(PACS). We compared mechanical alignment achieved using PSB and CI in TKA using statistical analysis.RESULTS: The PSB group(group 1) included 17 females and seven males while in CI group(group 2) there were 15 females and eight males. The mean age of patients in group 1 was 60.5 years and in group 2 it was 60.2 years. The mean postoperative MFT angle measured on long-leg radiographs in group 1 was 178.23°(SD = 2.67°, range: 171.9° to 182.5°) while in group 2, the mean MFT angle was 175.73°(SD = 3.62°, range: 166.0° to 179.8°). There was significant improvement in postoperative mechanical alignment(P value = 0.001), in PSB group compared to CI. Number of outliers were also found to be less in group operated with PSB(7 Knee) compared to those operated with CI(17 Knee).CONCLUSION: PSB improve mechanical alignment after total knee arthroplasty, compared to CI. This may lead to lower rates of revision in the PSB based TKA as compared to the conventional instrumentation. | Raju Vaishya Vipul Vijay Vikas P Birla Amit K Agarwal | 2016 | World Journal of Orthopedics2016，7，7： | 2 |
| 3 | Development and optimization of modified release IPN macromolecules of oxcarbazepine using natural polymers显示文摘 | Vipul D Prajapati Abhishek K Gandhi Krishna K Patel | 2015 | International Journal of Biological Macromolecules2015，73，： | 1 |
| 4 | Blood levels of polycyclic aromatichydrocarbons in children and their association with oxidativestress indices:An Indian perspective显示文摘 | Vipul K Singh A | 2008 | Clin Biochem2008，41，3： | 1 |
| 5 | Semantic and schematic similarities between database objects: A context based approach显示文摘 | VIPUL K AMIT S | 1996 | The VLDB Journal1996，5，4： | 1 |
| 6 | A comparative study of AI and LiF/AI interfaces with poly(3-hexylthiophene) using bias dependent phototuminescence technique显示文摘 | Vipul S Anil K T Shyam S P | 2008 | Organic Electron- ics2008，，9： | 1 |
| 7 | Carrageenan: A natural seaweed polysaccharide and its applications 显示文摘 | Vipul D Prajapati P M Maheriya G K | 2014 | So- lanki Carbohydrate Polymers2014，105，： | 1 |
| 8 | Technological innovations: a framework for communicating diffusion effects 显示文摘 | FRANKLING J CARTER JR A THANI J AMBULINGAMA VIPUL K GUPTA NANCY MELONE | 2001 | Information & Management2001，，38： | 1 |
| 9 | A sensitive and selective LC-MS-MS method for simultaneous determination of picroside-Ⅰand kutkoside(active principles of herbal preparation picroliv)using solid phase extraction in rabbit plasma:Application to pharmacokinetic study显示文摘 | K Vipul M Nitin R C Gupta | 2005 | J Chromatogr B2005，820，： | 1 |
| 10 | Fiber loading of hardwood pulp by in-situ precipitation of aluminosilicate显示文摘 | Vipul S Chauhan Surendra P Singh Pramod K Bajpai | 2007 | Bioresources2007，2，4： | 1 |
| 11 | A Sensitive and Selective LC-MS-MS Method for Simultaneous Determination of Picroside-I and Kutkoside Active Principles of Herbal Preparation Picroliv Using Solid Phase Extraction in Rabbit Plasma Application to Pharmacokinetic Study显示文摘 | VIPUL K NITIN M GUPTA R C | 2005 | Journal of Chromatography B2005，820，2： | 1 |
| 12 | Synthesis and Characterisation of Copper Zinc Tin Sulphide(CZTS)Compound for Absorber Material in SolarCells显示文摘 | Vipul K Patel K K Patel S J | 2013 | Journal of Crystal Growth2013，362，： | 1 |
| 13 | Carrageenan : a natural seaweed polysaccharide and its applications 显示文摘 | VIPUL D P PANKA J M GIRISH K J | 2014 | Carbohydrate Polymers2014，105，5： | 1 |
| 14 | Biodegradable polymer blends of poly ( lactic acid ) and poly ( ethylene glycol ) 显示文摘 | Mihir S Ananda K R Vipul D | 1997 | Journal of Applied Polymer Science1997，66，8： | 1 |
| 15 | Biodegradable polymer blends of polylacticacid (PLA) and polyethyleneglycol (PEG) 显示文摘 | MIHIR S ANANDA K R VIPUL D | 1997 | J Appl PolymSci1997，66，8： | 1 |
| 16 | Availability analysis of repai- rable mechanical systems using analytical semimarkov approach显示文摘 | GIRISH K VIPUL J | 2005 | Quality Engineering2005，2，： | 1 |
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