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The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.
结果:1、钳夹分离切肝法不需特殊仪器设备,只要具备常规的腹腔镜器械即可实施,成本低,肝断面较易渗血;2、微波固化切肝法肝实质出血很少,视野清晰,成本低,操作简单,是一种安全、简便、有效的方法;3、超声刀是目前较为理想的切肝器械,术中出血少,但是,切割速度慢,手术时间长,而且,切割强度有限,适用于无肝硬化的肝切除;4、Ligsure具有挤压粉碎及高频电凝止血两大功能,可使包括7~以下管道的肝组织碳化、形成焦痴,具有一定的优势,但是,也存在分离钳电凝止血的缺点;5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感,便于术中显露、分离、控制出血等,可随意协助右手及助手的主要操作,缩短了手术时间,大大提高了腹腔镜肝切除的安全性,李朝龙等的改良方法,同样达到了手辅助目的,又节省了费用;6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术,操作简单、可靠,适用于肝左外叶切除及右肝第V段切除;7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构,多用于肝左静脉、门静脉分支、管径较大胆管的切割,缺点是不能用于较厚肝组织的切割,而且价格昂贵;8、临床巧例腹腔镜肝切除均获得成功,手术时间最短1.5h,最长sh,平均125 min,多数在100 min左右,手术出血量最少50 ml,最多500 ml,平均1 78 ml,除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水,1例术后发生胆漏外,其余无并发症,发生胆漏的1例患者术后住院40d,多数在术后一周左右出院,术后住院时间5一40d,平均gd。
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It suggests therefore that people should follow their instinct and"man-as-consumer considers the experience of pleasure an obligation, like an enterprise of pleasure and satisfaction; one is obliged to be happy, to be in love, to be adulating/adulated, seducing/seduced, participating, euphoric, and dynamic"Baudrillard believes that the ideology of consumption is"presented under the guise of gratification, of a facilitated access to affluence, of a hedonistic mentality, and of'freedom from the old taboos of thrift" The Titan is Dreiser's representation and encouragement of hedonism and consumerism Here, women become a subject consuming as well as an object being consumed In The Financier, we see what is promised for Cowperwood is"a world of mansions, carriages, jewels, beauty, a vast metropolis outraged by the power of one man, a great State seething with indignation over a force it could not control, vast halls of priceless pictures, a palace unrivaled for its magnificence, a whole world reading with wonder, at times, of a given name"Throughout The Trilogy, Cowperwood indulges in his pursuit of women, mansions and art objects I think Dreiser's representation of the hero's pursuit of women, mansions, objects of art indicates the inherent ideology--consumerism.
消费文化旨在诱导或鼓励人们摆阔性的挥霍浪费。这种文化所倡导的道德标准是,有钱建豪宅,买昂贵服装,吸引和占有最美的女人在道德上就是正确,有价值的。这时的物品就象鲍德里拉所说的那样已经成为地位的象征,而不是仅仅满足基本的需要。因此,人们应该听从本能的驱使,&作为消费者的人将享乐看成是自己的义务,享乐和满足就象是一种事业&。鲍德里拉指出消费意识形态的欺骗性在于其&倡导的满足、富裕、享乐和'冲破节检的旧樊篱'&。德莱塞在《巨人》中正是表现了这种消费意识形态。妇女、服装和豪宅已成为地位和权力的象征。《金融家》所预示给柯帕乌的是&公寓、四轮马车、珠宝和美物;整个大都会都要被一个人的权力所激怒;一个伟大的国家也要因为一种不能控制的力量而愤怒填膺;充满了无价珍宝的大厅;无与伦比的豪华宫殿;整个世界都惊叹地阅读着一个熟悉的名字&。当然,在整部小说里我们很少发现柯帕乌有抽烟饮酒的嗜好,但他却始终沉溺于性乱交之中。
- 推荐网络例句
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As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.
每逢看到沃林顿那刚毅的脸,那乌黑、忧郁的眼睛,她便会相信,他一定作过不幸的爱情的受害者。
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Maybe they'll disappear into a pothole.
也许他们将在壶穴里消失
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But because of its youthful corporate culture—most people are hustled out of the door in their mid-40s—it had no one to send.
但是因为该公司年轻的企业文化——大多数员工在40来岁的时候都被请出公司——一时间没有好的人选。