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Suryawanshi C, Varma S, Vazhakalayil STJ. Anesthetic Management of Robot-Assisted Laparoscopic Surgery of Pheochromocytoma. Cureus 2024; 16:e53850. [PMID: 38465083 PMCID: PMC10924627 DOI: 10.7759/cureus.53850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2024] [Indexed: 03/12/2024] Open
Abstract
The latest trend shows a strong demand for minimally invasive surgery. The popularity of robot-assisted surgeries has increased because they eliminate many of the disadvantages of conventional laparoscopic methods. However, compared to the conventional method of anesthesia treatment, robotic surgery may require adjustments in the way patients are positioned and the general arrangement of personnel and equipment. Pheochromocytomas (PHEOs) are tumours of neural crest cells that make catecholamines. Early detection and appropriate treatment are required for PHEO. The best course of action for treating these tumours is an adrenalectomy. The last several years have seen a considerable advancement in surgical technology with the development of laparoscopic and robotic devices. By comprehending the fundamental elements of robotic surgical systems, anesthesiologists may better manage anesthesia and increase patient safety by being aware of these innovations.
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Affiliation(s)
- Chhaya Suryawanshi
- Anesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research - Dr. D. Y. Patil Vidyapeeth University, Pune, IND
| | - Sanya Varma
- Anesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research - Dr. D. Y. Patil Vidyapeeth University, Pune, IND
| | - Subha Teresa J Vazhakalayil
- Anesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research - Dr. D. Y. Patil Vidyapeeth University, Pune, IND
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Shi Y, Qu XL, Lu QL, Zhao J, Ma QC, Sun W, OuYang GX, Fu W, Tao X, Huang DS. Stable Lanthanide-Organic Frameworks: Crystal Structure, Photoluminescence, and Chemical Sensing of Vanillylmandelic Acid as a Biomarker of Pheochromocytoma. Inorg Chem 2023; 62:6934-6947. [PMID: 37098153 DOI: 10.1021/acs.inorgchem.3c00109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
Several isostructural lanthanide metal-organic frameworks, viz. [Ln(DCHB)1.5phen]n (Ln-MOFs, where Ln = Eu for 1, Tb for 2, Sm for 3 and Dy for 4), are successfully synthesized through the hydrothermal reactions of 4'-di(4-carboxylphenoxy)hydroxyl-2, 2'-bipyridyl (H2DCHB) and lanthanide nitrates as well as chelator 1,10-phenantroline (phen). These structures are characterized by single-crystal X-ray diffraction, and the representative Ln-MOF 1 is a fivefold interpenetrated framework with the uncoordinated Lewis base N sites form DCHB2- ligands. The photoluminescence research studies reveal that Ln-MOFs 1-4 exhibit characteristic fluorescent emissions from ligand-induced lanthanide Ln(III) ions, while the single-component emission spectra of Ln-MOF 4 are all located in a white region under different excitations. The absence of coordinated water and the interpenetration property of the structures are conducive to the structure rigidity, and the results display that Ln-MOF 1 has high thermal/chemical stabilities in common solvents and a wide pH range as well as the boiling water. Notably, luminescent sensing studies reveal that Ln-MOF 1 with prominent fluorescence properties can perform in highly sensitive and selective sensing of vanillylmandelic acid (VMA) in aqueous systems (KSV = 562.8 L·mol-1; LOD = 4.6 × 10-4 M), which can potentially establish a detection platform for the diagnosis of pheochromocytoma via multiquenching mechanisms. Moreover, the 1@MMMs sensing membranes comprised of Ln-MOF 1 and a poly(vinylidene fluoride) (PVDF) polymer can also be facilely developed for VMA detection in aqueous media, suggesting the enhanced convenience and efficiency of practical sensing applications.
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Affiliation(s)
- Yu Shi
- College of Materials Science and Engineering, Zhejiang University of Technology, Hangzhou 310014, China
| | - Xiang-Long Qu
- College of Health Management, Shangluo University, Beixin Street 10, Shangluo Shaanxi 726000, China
| | - Qi-Liang Lu
- Zhejiang Prov Peoples Hosp, Key Lab Tumor Mol Diag & Individualized Med Zheji, Affiliated Peoples Hosp, Hangzhou Medical College, Hangzhou 310000, P. R. China
| | - Jie Zhao
- Zhejiang Prov Peoples Hosp, Key Lab Tumor Mol Diag & Individualized Med Zheji, Affiliated Peoples Hosp, Hangzhou Medical College, Hangzhou 310000, P. R. China
| | - Qian-Cheng Ma
- Zhejiang Prov Peoples Hosp, Key Lab Tumor Mol Diag & Individualized Med Zheji, Affiliated Peoples Hosp, Hangzhou Medical College, Hangzhou 310000, P. R. China
| | - Wen Sun
- Zhejiang Prov Peoples Hosp, Key Lab Tumor Mol Diag & Individualized Med Zheji, Affiliated Peoples Hosp, Hangzhou Medical College, Hangzhou 310000, P. R. China
| | - Guang-Xiong OuYang
- Zhejiang Prov Peoples Hosp, Key Lab Tumor Mol Diag & Individualized Med Zheji, Affiliated Peoples Hosp, Hangzhou Medical College, Hangzhou 310000, P. R. China
| | | | - Xinyong Tao
- College of Materials Science and Engineering, Zhejiang University of Technology, Hangzhou 310014, China
| | - Dong-Sheng Huang
- Zhejiang Prov Peoples Hosp, Key Lab Tumor Mol Diag & Individualized Med Zheji, Affiliated Peoples Hosp, Hangzhou Medical College, Hangzhou 310000, P. R. China
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Zhao Z, Guo Y, Liu L, Zhang L, Li S, Yang J. Primary non-functional pancreatic paraganglioma: A case report and review of the literature. J Int Med Res 2022; 50:3000605221143023. [PMID: 36562124 PMCID: PMC9793047 DOI: 10.1177/03000605221143023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Primary pancreatic paragangliomas are rare. They are mainly non-functional tumours that lack typical clinical manifestations. Definite diagnosis relies on histopathology and immunohistochemistry, and the main treatment is surgery. We report here a case of primary, non-functional, pancreatic paraganglioma in a 49-year-old woman. The tumour was approximately 5.0 × 3.2 ×4.7 cm in size and located in the pancreatic neck and body. We undertook 3D laparoscopic complete resection of the tumour. The patient developed a pancreatic fistula (biochemical leak) post-surgery, but she recovered and was discharged from hospital 11 days after surgery. We describe this case study and briefly summarize previous related reports.
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Affiliation(s)
- Zhanxue Zhao
- Medical College of Soochow University, Suzhou 215123, Jiangsu
Province, China,Department of General Surgery, Qinghai Provincial People's
Hospital, Xining 810007, Qinghai Province, China
| | - Yan Guo
- Department of Pathology, Qinghai Provincial People's Hospital,
Xining 810007, Qinghai Province, China
| | - Linxun Liu
- Department of General Surgery, Qinghai Provincial People's
Hospital, Xining 810007, Qinghai Province, China
| | - Linming Zhang
- Department of MRI, Qinghai Provincial People's Hospital, Xining
810007, Qinghai Province, China
| | - Shuai Li
- Department of Clinical Pharmacy, Affiliated Hospital of Qinghai
University, Xining 810007, Qinghai Province, China
| | - Jinyu Yang
- Department of General Surgery, Qinghai Provincial People's
Hospital, Xining 810007, Qinghai Province, China,Jinyu Yang, Department of General Surgery,
Qinghai Provincial People's Hospital, Xining, Qinghai 810007, China.
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Neuroendocrine Tumors: Challenges and Future Perspectives. J Clin Med 2022; 11:jcm11154351. [PMID: 35955968 PMCID: PMC9369270 DOI: 10.3390/jcm11154351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 07/22/2022] [Indexed: 11/30/2022] Open
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