Minimally Invasive Surgery最新文献_第7页

Instrumental Mechanoreceptoric Palpation in Gastrointestinal Surgery. 机械感受器触诊在胃肠外科中的应用。

IF 1.8

Minimally Invasive Surgery Pub Date : 2017-01-01 Epub Date: 2017-12-31 DOI: 10.1155/2017/6481856

Rozaliia F Solodova, Vladimir V Galatenko, Eldar R Nakashidze, Sergey G Shapovalyants, Igor L Andreytsev, Mikhail E Sokolov, Vladimir E Podolskii

{"title":"Instrumental Mechanoreceptoric Palpation in Gastrointestinal Surgery.","authors":"Rozaliia F Solodova, Vladimir V Galatenko, Eldar R Nakashidze, Sergey G Shapovalyants, Igor L Andreytsev, Mikhail E Sokolov, Vladimir E Podolskii","doi":"10.1155/2017/6481856","DOIUrl":"https://doi.org/10.1155/2017/6481856","url":null,"abstract":"Background and aims: Small gastric or colorectal tumours can be visually undetectable during laparoscopic surgeries, and available methods still do not provide a 100% localisation rate. Thus, new methods for further improvements in tumour localisation are highly desirable. In this study, we evaluated the usage of the Medical Tactile Endosurgical Complex (MTEC) in gastrointestinal surgery for localisation of tumours. The MTEC provides the possibility of instrumental mechanoreceptoric palpation, which serves as an analogue of conventional manual palpation.Methods: Ninety-six elective surgeries were performed, including 48 open surgeries, 43 laparoscopies, and 5 robot-assisted surgeries. The 20 mm version of the MTEC tactile mechanoreceptor was used in open surgeries, and the 10 mm version in laparoscopic and robot-assisted surgeries.Results: The mean time of instrumental mechanoreceptoric palpation was 3 minutes 12 seconds for open surgeries, which constituted the early stage of the learning curve, and 3 minutes 34 seconds for laparoscopic surgeries. No side effects or postoperative complications related to instrumental mechanoreceptoric palpation were observed, and this procedure provided data sufficient for tumour localisation in more than 95% of cases.Conclusion: Instrumental mechanoreceptoric palpation performed using MTEC is a simple, safe, and reliable method for tumour localisation in gastrointestinal laparoscopic surgery.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6481856","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study. 与传统经胸食管切除术相比，机器人辅助混合食管切除术的住院时间更短:一项回顾性研究。

IF 1.8

Minimally Invasive Surgery Pub Date : 2017-01-01 Epub Date: 2017-12-06 DOI: 10.1155/2017/6907896

Hans C Rolff, Rikard B Ambrus, Mohammed Belmouhand, Michael P Achiam, Marianne Wegmann, Mette Siemsen, Steen C Kofoed, Lars B Svendsen

{"title":"Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study.","authors":"Hans C Rolff, Rikard B Ambrus, Mohammed Belmouhand, Michael P Achiam, Marianne Wegmann, Mette Siemsen, Steen C Kofoed, Lars B Svendsen","doi":"10.1155/2017/6907896","DOIUrl":"https://doi.org/10.1155/2017/6907896","url":null,"abstract":"Aim: To compare the peri- and postoperative data between a hybrid minimally invasive esophagectomy (HMIE) and the conventional Ivor Lewis esophagectomy.Methods: Retrospective comparison of perioperative characteristics, postoperative complications, and survival between HMIE and Ivor Lewis esophagectomy.Results: 216 patients were included, with 160 procedures performed with the conventional and 56 with the HMIE approach. Lower perioperative blood loss was found in the HMIE group (600 ml versus 200 ml, p < 0.001). Also, a higher median number of lymph nodes were harvested in the HMIE group (median 28) than in the conventional group (median 23) (p = 0.002). The median length of stay was longer in the conventional group compared to the HMIE group (11.5 days versus 10.0 days, p = 0.03). Patients in the HMIE group experienced fewer grade 2 or higher complications than the conventional group (39% versus 57%, p = 0.03). The rate of all pulmonary (51% versus 43%, p = 0.32) and severe pulmonary complications (38% versus 18%, p = 0.23) was not statistically different between the groups.Conclusions: The HMIE was associated with lower intraoperative blood loss, a higher lymph node harvest, and a shorter hospital stay. However, the inborn limitations with the retrospective design stress a need for prospective randomized studies. Registration number is DRKS00013023.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6907896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35762441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Technical Details of Laparoscopic Sleeve Gastrectomy Leading to Lowered Leak Rate: Discussion of 1070 Consecutive Cases. 腹腔镜下套管胃切除术降低漏胃率的技术细节——附1070例病例分析。

IF 1.8

Minimally Invasive Surgery Pub Date : 2017-01-01 Epub Date: 2017-07-06 DOI: 10.1155/2017/4367059

David L Warner, Kent C Sasse

{"title":"Technical Details of Laparoscopic Sleeve Gastrectomy Leading to Lowered Leak Rate: Discussion of 1070 Consecutive Cases.","authors":"David L Warner, Kent C Sasse","doi":"10.1155/2017/4367059","DOIUrl":"https://doi.org/10.1155/2017/4367059","url":null,"abstract":"Introduction: Laparoscopic sleeve gastrectomy is a widely utilized and effective surgical procedure for dramatic weight loss in obese patients. Leak at the sleeve staple line is the most serious complication of this procedure, occurring in 1-3% of cases. Techniques to minimize the risk of sleeve gastrectomy leaks have been published although no universally agreed upon set of techniques exists. This report describes a single-surgeon experience with an approach to sleeve leak prevention resulting in a progressive decrease in leak rate over 5 years.Methods: 1070 consecutive sleeve gastrectomy cases between 2012 and 2016 were reviewed retrospectively. Patient characteristics, sleeve leaks, and percent body weight loss at 6 months were reported for each year. Conceptual and technical changes aimed towards leak reduction are presented.Results: With the implementation of the described techniques of the sleeve gastrectomy, the rate of sleeve leaks fell from 4% in 2012 to 0% in 2015 and 2016 without a significant change in weight loss, as depicted by 6-month change in body weight and percent excess BMI lost.Conclusion: In this single-surgeon experience, sleeve gastrectomy leak rate has fallen to 0% since the implementation of specific technical modifications in the procedure.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/4367059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35370970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Routine Cysticotomy and Flushing of the Cystic Duct in Patients with Low Risk of Common Duct Stones: Can It Be Beneficial? 常规膀胱切除术和胆总管冲洗对低风险的胆总管结石患者有益吗?

IF 1.8

Minimally Invasive Surgery Pub Date : 2017-01-01 Epub Date: 2017-07-11 DOI: 10.1155/2017/9814389

Piera Leon, Fabiola Giudici, Antonio Sciuto, Francesco Corcione

{"title":"Routine Cysticotomy and Flushing of the Cystic Duct in Patients with Low Risk of Common Duct Stones: Can It Be Beneficial?","authors":"Piera Leon, Fabiola Giudici, Antonio Sciuto, Francesco Corcione","doi":"10.1155/2017/9814389","DOIUrl":"https://doi.org/10.1155/2017/9814389","url":null,"abstract":"Background: Gallstone disease affects 15-20% of the general population and up to 20% of these patients present common bile duct stones.Aim: This observational study reports our experience on routine cysticotomy and flushing of the cystic duct in patients with low risk of common duct stones.Materials and methods: We analyzed 731 patients who underwent laparoscopic cholecystectomy between September 2013 and September 2015.Results: Patients were preoperatively stratified on the clinical risk; those presenting with low preoperative risk of common bile duct stones were referred to undergo laparoscopic cholecystectomy and routine cysticotomy with bile duct flushing. Patients presenting thick bile sludge, solid debrides, and/or increased tension of bile outflow underwent unplanned cholangiography. No intraoperative complications or conversion to open technique occurred. Average follow-up time was 22,8 months (range 12 to 37). Rate of retained ductal stones accounted for 0,3%.Conclusions: Routine cysticotomy and bile flushing in our experience is a valid, simple, and not time consuming manoeuvre that can help decompressing and flushing CBD. Moreover, it is a valid tool for extending selective IOC approach in a focused manner. Further evaluations have to be conducted to evaluate risks and effectiveness of this manoeuvre.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/9814389","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35298149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

TULAA: A Minimally Invasive Appendicectomy Technique for the Paediatric Patient TULAA:一种用于儿科患者的微创阑尾切除术技术

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-12-18 DOI: 10.1155/2016/6132741

G. Perin, M. Scarpa

引用次数: 5

Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults 成人先天性膈疝的腹腔镜修补术

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-12-15 DOI: 10.1155/2016/9032380

S. Saroj, Satendra Kumar, Yusuf Afaque, A. Bhartia, V. Bhartia

{"title":"Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults","authors":"S. Saroj, Satendra Kumar, Yusuf Afaque, A. Bhartia, V. Bhartia","doi":"10.1155/2016/9032380","DOIUrl":"https://doi.org/10.1155/2016/9032380","url":null,"abstract":"Background, Aims, and Objectives. Congenital diaphragmatic hernia typically presents in childhood but in adults is extremely rare entity. Surgery is indicated for symptomatic and asymptomatic patients who are fit for surgery. It can be done by laparotomy, thoracotomy, thoracoscopy, or laparoscopy. With the advent of minimal access techniques, the open surgical repair for this hernia has decreased and results are comparable with early recovery and less hospital stay. The aim of this study is to establish that laparoscopic repair of congenital diaphragmatic hernia is a safe and effective modality of surgical treatment. Materials and Methods. A retrospective study of laparoscopic diaphragmatic hernia repair done during May 2011 to Oct 2014. Total n = 13 (M/F: 11/2) cases of confirmed diaphragmatic hernia on CT scan, 4 cases Bochdalek hernia (BH), 8 cases of left eventration of the diaphragm (ED), and one case of right-sided eventration of the diaphragm (ED) were included in the study. Largest defect found on the left side was 15 × 6 cm and on the right side it was 15 × 8 cm. Stomach, small intestine, transverse colon, and omentum were contents in the hernial sac. The contents were reduced with harmonic scalpel and thin sacs were usually excised. The eventration was plicated and hernial orifices were repaired with interrupted horizontal mattress sutures buttressed by Teflon pieces. A composite mesh was fixed with nonabsorbable tackers. All patients had good postoperative recovery and went home early with normal follow-up and were followed up for 2 years. Conclusion. The laparoscopic repair is a safe and effective modality of surgical treatment for congenital diaphragmatic hernia in experienced hands.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2016-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/9032380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64594789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Complications, Not Minimally Invasive Surgical Technique, Are Associated with Increased Cost after Esophagectomy 并发症，非微创手术技术，与食管切除术后费用增加有关

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-12-08 DOI: 10.1155/2016/7690632

S. J. Fu, V. Ho, J. Ginsberg, Y. Perry, C. Delaney, P. Linden, C. Towe

{"title":"Complications, Not Minimally Invasive Surgical Technique, Are Associated with Increased Cost after Esophagectomy","authors":"S. J. Fu, V. Ho, J. Ginsberg, Y. Perry, C. Delaney, P. Linden, C. Towe","doi":"10.1155/2016/7690632","DOIUrl":"https://doi.org/10.1155/2016/7690632","url":null,"abstract":"Background. Minimally invasive esophagectomy (MIE) techniques offer similar oncological and surgical outcomes to open methods. The effects of MIE on hospital costs are not well documented. Methods. We reviewed the electronic records of patients who underwent esophagectomy at a single academic institution between January 2012 and December 2014. Esophagectomy techniques were grouped into open, hybrid, MIE, and transhiatal (THE) esophagectomy. Univariate and multivariate analyses were performed to assess the impact of surgery on total hospital cost after esophagectomy. Results. 80 patients were identified: 11 THE, 11 open, 41 hybrid, and 17 MIE. Median total cost of the hospitalization was $31,375 and was similar between surgical technique groups. MIE was associated with higher intraoperative costs, but not total hospital cost. Multivariable analysis revealed that the presence of a complication, increased age, American Society of Anesthesiologists class IV (ASA4), and preoperative coronary artery disease (CAD) were associated with significantly increased cost. Conclusions. Despite the association of MIE with higher operation costs, the total hospital cost was not different between surgical technique groups. Postoperative complications and severe preoperative comorbidities are significant drivers of hospital cost associated with esophagectomy. Surgeons should choose technique based on clinical factors, rather than cost implications.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2016-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/7690632","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64533250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery 单切口腹腔镜入路在肝胰切除手术中的作用

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-11-07 DOI: 10.1155/2016/1454026

N. Chatzizacharias, K. Dajani, J. Koong, A. Jah

{"title":"The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery","authors":"N. Chatzizacharias, K. Dajani, J. Koong, A. Jah","doi":"10.1155/2016/1454026","DOIUrl":"https://doi.org/10.1155/2016/1454026","url":null,"abstract":"Introduction. Single incision laparoscopic surgery (SILS) has gained increasing support over the last few years. The aim of this narrative review is to analyse the published evidence on the use and potential benefits of SILS in hepatic and pancreatic resectional surgery for benign and malignant pathology. Methods. Pubmed and Embase databases were searched using the search terms “single incision laparoscopic”, “single port laparoscopic”, “liver surgery”, and “pancreas surgery”. Results. Twenty relevant manuscripts for liver and 9 for pancreatic SILS resections were identified. With regard to liver surgery, despite the lack of comparative studies with other minimal invasive techniques, outcomes have been acceptable when certain limitations are taken into account. For pancreatic resections, when compared to the conventional laparoscopic approach, SILS produced comparable results with regard to intra- and postoperative parameters, including length of hospitalisation and complications. Similarly, the results were comparable to robotic pancreatectomies, with the exception of the longer operative time reported with the robotic approach. Discussion. Despite the limitations, the published evidence supports that SILS is safe and feasible for liver and pancreatic resections when performed by experienced teams in the tertiary setting. However, no substantial benefit has been identified yet, especially compared to other minimal invasive techniques.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2016-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/1454026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64224736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Robot-Assisted Myomectomy for Large Uterine Myomas: A Single Center Experience 机器人辅助子宫肌瘤切除术治疗大子宫肌瘤:单中心经验

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-02-29 DOI: 10.1155/2016/4905292

V. Gunnala, R. Setton, N. Pereira, J. Huang

{"title":"Robot-Assisted Myomectomy for Large Uterine Myomas: A Single Center Experience","authors":"V. Gunnala, R. Setton, N. Pereira, J. Huang","doi":"10.1155/2016/4905292","DOIUrl":"https://doi.org/10.1155/2016/4905292","url":null,"abstract":"Objective. To determine if robot-assisted myomectomy (RAM) is feasible for women with large uterine myomas. Methods. Retrospective review of one gynecologic surgeon's RAM cases between May 2010 and July 2013. Large uterine myomas, defined as the largest myoma ≥9 cm by preoperative magnetic resonance imaging, was age- and time-matched to controls with the largest myoma <9 cm. Primary surgical outcomes compared were operative time and estimated blood loss (EBL). Results. 207 patients were included: 66 (32%) patients were in the ≥9 cm group, while 141 (68%) patients were in the <9 cm group. There was a statistically significant increase in the operative time (130 min versus 92 min) and EBL (100 mL versus 25 mL) for the ≥9 cm group compared to the <9 cm group. Ten (4.8%) patients had the largest myoma measuring ≥15 cm, and 11 (5.3%) patients had a specimen weight >900 gm, of which no major adverse outcomes were observed. All patients in the study cohort were discharged on the same day after surgery. Conclusion. RAM is a feasible surgical approach for patients with myomas ≥9 cm. Patients with large myomas undergoing RAM are also candidates for same-day discharge after surgery.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2016-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4905292","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64403906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

A Comparative Study in Learning Curves of Two Different Intracorporeal Knot Tying Techniques 两种不同体内打结技术学习曲线的比较研究

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-02-28 DOI: 10.1155/2016/3059434

Manuneethimaran Thiyagarajan, Chandru Ravindrakumar

{"title":"A Comparative Study in Learning Curves of Two Different Intracorporeal Knot Tying Techniques","authors":"Manuneethimaran Thiyagarajan, Chandru Ravindrakumar","doi":"10.1155/2016/3059434","DOIUrl":"https://doi.org/10.1155/2016/3059434","url":null,"abstract":"Objectives. In our study we are aiming to analyse the learning curves in our surgical trainees by using two standard methods of intracorporeal knot tying. Material and Method. Two randomized groups of trainees are trained with two different intracorporeal knot tying techniques (loop and winding) by single surgeon for eight sessions. In each session participants were allowed to make as many numbers of knots in thirty minutes. The duration for each set of knots and the number of knots for each session were calculated. At the end each session, participants were asked about their frustration level, difficulty in making knot, and dexterity. Results. In winding method the number of knots tied was increasing significantly in each session with less frustration and less difficulty level. Discussion. The suturing and knotting skill improved in every session in both groups. But group B (winding method) trainees made significantly higher number of knots and they took less time for each set of knots than group A (loop method). Although both knotting methods are standard methods, the learning curve is better in loop method. Conclusion. The winding method of knotting is simpler and easier to perform, especially for the surgeons who have limited laparoscopic experience.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2016-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/3059434","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64316557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10