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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 | 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 |
| 4 | 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 |
| 5 | 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 |
| 6 | 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 |
| 7 | 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 |
| 8 | Relation between red blood cell distribution width and cardiovascular event rate inpeople with coronary disease显示文摘 | TONELLI M SACKS F ARNOLD M | 2008 | Circulation2008，117，： | 1 |
| 9 | Carbon nanotube interac- tion with extracellular matrix proteins producing scaffolds for tissue en- gineering 显示文摘 | Tonelli F M Santos A K Gomes K N | 2012 | Int J Nanomediciue2012，7，： | 1 |
| 10 | Relation between serum phosphate level and cardiovascular event rate in people with coronary disease显示文摘 | Tonelli M Sacks F Pfeffer M | 2005 | Circulation2005，112，： | 1 |
| 11 | 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 | Circulation2008，117，2： | 1 |
| 12 | Relation between red blood cell distribution width and cardiovascular event rate inpeople with coronary disease显示文摘 | Tonelli M Sacks F Arnold M | 2008 | Circulation2008，117，2： | 1 |
| 13 | Relation between red blood cell distribution width and cardiovascular event rate in people with coronary disease显示文摘 | Tonelli M Sacks F | 2008 | Circulation2008，117，： | 1 |
| 14 | 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 | Circulation2008，117，2： | 1 |
| 15 | Relation between red blood cell distribution width and cardiovascular event rate in people with coronary disease显示文摘 | Tonelli M Sacks F Arnoid M | | 0，，02： | 1 |
| 16 | Renal function and outcomes in acute coronary syndrome:impact of clopidogrel 显示文摘 | KELTAI M TONELLI M MANN J F | 2007 | Eur J Cardiovasc Prey Rehabil2007，14，2： | 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 | Circulation2008，117，2： | 1 |
| 18 | Effect of pravastatin on blood pressure in people with cardiovascular disease显示文摘 | Tonelli M Sacks F Pfeffer M | 2006 | J Hum Hypertens2006，20，8： | 1 |
| 19 | A physically based model of the effects of forest roads on slope stability 显示文摘 | Borga M Tonelli F Selleroni J | 2004 | Water resources research2004，40，12： | 1 |
| 20 | Relation between red blood cell distribution width and cardiovascular event rate in people with coronary disease显示文摘 | Tonelli M Sacks F | 2008 | Circulation2008，117，2： | 1 |
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