Gay Mann (ghostwatch9)
HALS had a significantly reduced conversion rate (p < 0.01). In two studies that compared HALS and OS (n = 66), HALS showed a decrease in LOS of 4.5days (p < 0.01) and increase of 44min in operative time (p < 0.01), while OS had a significantly higher blood loss of 448cc (p = 0.01). No differences were found in the complication rate. LS is a safe approach for splenomegaly, with clear clinical benefits. HALS has a lower conversion rate. Higher-quality confirmatory trials with standardized splenomegaly grading are needed before definitive recommendations can be provided. Prospero registration number CRD42019125251. LS is a safe approach for splenomegaly, with clear clinical benefits. HALS has a lower conversion rate. Higher-quality confirmatory trials with standardized splenomegaly grading are needed before definitive recommendations can be provided. Prospero registration number CRD42019125251. Sarcopenia and obesity are associated with outcomes after surgery. However, few studies have investigated which more accurately predicts postoperative complications or prognosis in patients with gastric cancer. A total of 567 consecutive patients with gastric cancer who underwent gastrectomy between 2010 and 2015 were retrospectively reviewed. Psoas muscle mass index (PMI) and visceral fat area (VFA) were measured by CT scan. Patients were divided into two groups based on PMI (PMI-H group male ≥ 6.36 cm /m , female ≥ 3.92 cm /m ; and PMI-L group male < 6.36 cm /m , female < 3.92 cm /m ) and two groups based on VFA (VFA-H group ≥ 100 cm ; VFA-L group < 100 cm ). The incidence of postoperative complications and the recurrence-free survival (RFS) were compared between the two groups. The incidence of postoperative complications was significantly higher in the VFA-H group than in the VFA-L group (35.1% vs. 20.3%; P < 0.001), whereas there was no significant difference between the PMI-H and PMI-L groups. Multivariate analysis showed that PMI-L and VFA-H were independent risk factors for pneumonia (odds ratio, 4.49; P = 0.018) and intra-abdominal abscess (odds ratio, 5.19; P = 0.004), respectively. While there was no significant difference in RFS between the VFA-H and VFA-L groups, the PMI-L group showed significantly worse RFS than the PMI-H group (P < 0.001). PMI and VFA were useful predictive factors for postoperative pneumonia and intra-abdominal abscess, respectively. PMI might be a useful prognostic factor in patients with gastric cancer, but VFA is not. PMI and VFA were useful predictive factors for postoperative pneumonia and intra-abdominal abscess, respectively. PMI might be a useful prognostic factor in patients with gastric cancer, but VFA is not.In view of the problem that chemical oxygen demand (COD) measurement in water using UV-Vis spectrometry was easily affected by turbidity, this paper proposed an analytical method for determining the complex refractive index of particles in water based on Lambert-Beer's law and K-K (Kramers-Kronig) relationship. The obtained complex refractive index was used to establish the turbidity compensation model in the COD characteristic spectral region, and the COD concentration inversion were achieved by using the PLS algorithm. The results show that the turbidity compensation method based on Mie scattering theory can improve the accuracy of COD measurement by UV-Vis spectroscopy. Compared with before turbidity compensation, R2 (determination coefficient) between true values and predicted values of COD increased from 0.2274 to 0.9629, and RMSE (root mean square error) of predicted values decreased from 21.73 to 3.12 mg L-1. Compared with 350 nm PC, derivative method, and improved MSC method, the turbidity compensation method for COD measurement based on Mie scattering theory is simple, fast, and highly accurate. And the calculated spectrum can represe