BACKGROUND The treatment of colon cancer located in splenic flexure is not standardized. Laparoscopic approach is still considered a challenging procedure. This study reviews two Institutions experience in laparoscopic treatment of left colonic flexure cancer. Intraoperative, pathologic and postoperative data from patients undergoing laparoscopic splenic flexure resection were analyzed to asses...

This paper presents the effect of the accuracies of flexure hinge compliance equations (the accuracies vary with a geometrical ratio, t/R of a hinge) on the output compliances of RRR and 3-RRR micro-motion stages. Closed-form output compliance models of the stages are derived (with flexure hinge compliances as one of the variables) to investigate the aforementioned effect. The output compliance...

PURPOSE Few studies about laparoscopic surgery for splenic flexure colon cancer have been published. This study aims to compare the short- and long-term outcomes of laparoscopic surgery for splenic flexure colon cancer with those of conventional open surgery. METHODS From January 2004 to December 2010, 51 consecutive patients who underwent curative resection for stages I-III splenic flexure c...

INTRODUCTION Volvulus of the splenic flexure (VSF) is a rare cause of intestinal obstruction (1). Patients usually present with recurrent episodes of intestinal obstruction and there is a slight female preponderance. The affected patients usually have identifiable risk factors including previous surgery involving mobilization of the splenic flexure with resultant adhesions, congenital absence o...

This paper presents a summary of the tests performed within a VAMAS (Versailles Project on Advanced Materials and Standards) round robin to examine the measurement of mode II interlaminar fracture toughness using four different test methods based on: End Notched Flexure (ENF), Stabilised End Notched Flexure (SENF), End Loaded Split (ELS), and four point End Notched Flexure (4ENF) carbon fibre r...

mucous coat seen through the thinned outer coats ; mucous membrane congested and thickened, especially along free border of colon; in sigmoid flexure thickening is all round, and congestion most intense, thickening from interstitial deposit, ulceration in different stages; ulcers from 4 to 5 lines by 2 lines broad, placed transversely along whole length of colon; one large ulcer placed in sigmo...

in this paper, free vibration of an Euler-Bernoulli beam with variable cross-section resting on elastic foundation and under axial tensile force is considered. Beam’s constant height and exponentially varying width yields variable cross-section. The problem is handled for three different boundary conditions: clamped-clamped, simply supported-simply supported and clamp-free beams. First, the equ...

The natural frequency and pull-in instability of clamped-clamped nano-actuators in the presence of a dielectric layer are analyzed. The influence of the presence of Casimir force, electrostatic force, fringing field effect, axial force, stretching effects and the size effect are taken into account. The governing equation of the dynamic response of the actuator is transformed in a non-dimensiona...

A Local Load Sharing (LLS) model recently developed by Curtin and co-workers for the numerical simulation of tensile stress-strain behavior in fiber-reinforced composites is used to predict the tensile strength of metal matrix composites consisting of a Titanium matrix and unidirectionally aligned SiC fibers. This model is extended to include the effects of free boundary conditions and non-cons...

In this paper, an elastic shell model is presented for postbuckling prediction of a long thinwalledcylindrical shell under axial compression. The Ritz method is applied to solve the governingequilibrium equation of a cylindrical shell model based on the von-Karman type nonlinear differentialequations. The postbuckling equilibrium path is obtained using the energy method for a long thin-walledcy...