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| 1 | Natural orifice transluminal endoscopic surgeryvs laparoscopic ovariectomy:Complications and inflammatory response显示文摘AIM:To compare natural orifice transluminal endoscopic surgery (NOTES) vs standard laparoscopic ovariectomy in mini pigs with respect to technical aspects,complications and parameters of systemic inflammatory response.METHODS:This was a randomized,experimental,survival study.Ten female mini pigs underwent NOTES transgastric ovariectomy (NOTES group) and ten female mini pigs underwent laparoscopic ovariectomy (LAP group).A 'percutaneous endoscopic gastrostomy' approach with guidewire and sphincterotome was used for gastrotomy creation.The ovary was resected using standard biopsy forceps and a snare.The access site was closed using a 'KING' closure with a single endoloop and several clips.In the laparoscopic group,a three-port laparoscopy and an ovariectomy were performed with the use of standard laparoscopic devices.C-reactive protein (CRP),white blood count and interleukin (IL)-6 plasma levels were used as indicators of systemic inflammatory response.All animals were euthanized 28 d after surgery.RESULTS:All animals survived without complications.The mean procedure time was 41.3 min ± 17.6 min (NOTES group) and 25.7 min ± 5.25 min (LAP group,P < 0.02).Postmortem examinations demonstrated that 50% and 70% of animals were free of any complications in the NOTES and LAP groups,respectively.The remaining animals developed minor complications (adhesions) in a comparable frequency between the two groups.In the NOTES group,one animal developed a small intramural gastric abscess close to the gastrotomy site.A minor serous exudate that was present in 50% and 40% of the animals in the NOTES and laparoscopy groups,respectively,was not considered a complication.In both groups CRP levels increased significantly on the 2nd and 7th postoperative days (POD) and returned to normal after 28 d.On POD 2,an increase of CRP level was significantly higher in the NOTES group compared to the LAP group.Values of IL-6 did not differ from baseline values in either of the groups postoperatively.Interestingly,the platelet count decreased significantly on POD 2,but returned close to baseline values on POD 7 and PODs 28-30.CONCLUSION:Both NOTES and laparoscopic ovariectomies had a similar frequency of minor complications.However,the NOTES technique produced an increased systemic inflammatory response on POD 2. | Jan Martínek Ondej Ryska Tereza Filípková Radek Dolezel Stefan Juhas Jan Motlík Monika Holubová Vladimír Nosek Barbora Rotnáglová Miroslav Zavoral Miroslav Ryska | 2012 | World Journal of Gastroenterology2012，18，27： | 4 |
| 2 | Factorial validity and invariance of questionnaires measuring social-cognitive determinants of physical activity among adolescent girls显示文摘 | Motl R W Dishman R K Trost S G | 2000 | Preventive Medicine2000，31，5： | 1 |
| 3 | Progress toward construct validation of the Self-Presentation in Exercise Questionnaire(SPEQ)显示文摘 | Conroy D E Motl R W & Hall E G | 2000 | Journal of Sport and Exercise Psychology2000，22，： | 1 |
| 4 | Progress toward construct validation of the Self-Presentation in Exercise Questionnaire (SPEQ)显示文摘 | Conroy D E Motl R W Hall E G | 2000 | Journal of Sport and Exercise Psychology2000，22，： | 1 |
| 5 | Physical ac- tivity and cognitive function in a cross section of younger and older community-dwelling individuals 显示文摘 | HILLMAN C H MOTL R W PONTIFEX M B | 2006 | Health Psychol2006，25，： | 1 |
| 6 | Exercise training improves depressive symptoms in people with multiple sclerosis: re- sults of a meta-analysis 显示文摘 | Ensari I Motl R W Pilutti L A | 2014 | J Psychosom Res2014，76，6： | 1 |
| 7 | Physical activity and quality of life in older adults: influence of health status and self-efficacy 显示文摘 | MCAULEY E KONOPACK J F MOTL R W | 2006 | Ann Behav Med2006，31，1： | 1 |
| 8 | Are constructs of the transtheoretical model for physical activity measured equivalently betweensexes,age groups,and ethnicities显示文摘 | PAXTON R J NIGG C R MOTL R W | 2008 | Ann Behav Med2008，35，3： | 1 |
| 9 | Measuring enjoy ment of physical activity in adolescent girls显示文摘 | Motl R W Dishman R K Saunders R | 2001 | American Jour nal of Preventive Medicine2001，21，2： | 1 |
| 10 | A Research Agenda to Examine the Efficacy and Relevance of the Trans- theoretical Model for Physical Activity Behavior 显示文摘 | NIGG C R GELLER K S MOTL R W | 2011 | Psychology of sport and exercise2011，12，1： | 1 |
| 11 | Physical activity and cognitive function in multiple sclerosis 显示文摘 | Motl R Gappmaier E Nelson K | 2011 | Journal of Sport & Exercise Psychology2011，，5： | 1 |
| 12 | Experimental vertical jump model uses to eveluate the pivot location in Klap speed skates显示文摘 | A11inger T L Motl R W | 2000 | J AppliedBiomech2000，，16： | 1 |
| 13 | Depressive symp- toms among older adults : Long -- term reduction after a physi- cal activity intervention 显示文摘 | Motl R W Konopack J F Mcauley E | 2005 | Journal of Behavioral Medicine2005，28，4： | 1 |
| 14 | Physical activity and cognitive function in a cross-section of younger and older communi- ty-dwelling individuals显示文摘 | HILLMAN C H MOTL R W PONTIFEX M B | 2006 | Health Psychol2006，25，6： | 1 |
| 15 | Self-efficacy partially mediates the effect of a school-based physical activity itervention among adolescent girls显示文摘 | DISHMAN R K MOTL R RUTH S | 2004 | Prey Med2004，38，5： | 1 |
| 16 | Dose relations between goal setting, theory-based correlates of goal setting and increases in physical activity during a workplace trial 显示文摘 | DISHMAN R K VANDENBERG R J MOTL RW | 2010 | Health Educ Res2010，25，4： | 1 |
| 17 | Aerobic fitness is as- sociated with gray matter volume and white matter integrity in multiple sclerosis 显示文摘 | PRAKASH R S SNOOK E M MOTL R W | 2010 | Brain research2010，1341，： | 1 |
| 18 | Exercise and mood: a selec- tive review and synthesis of research employing the profile of mood states显示文摘 | Berger B C Motl R W | 2000 | Journal of Applied Sport Psychology2000，12，： | 1 |
| 19 | Exercise and mood:A selective review and synthesis of research employing the profile of mood states显示文摘 | Berger B G Motl R W | 2000 | Journal of Applied Sport Psychology2000，12，1： | 1 |
| 20 | Progress toward construct validation of the Self-Presentation in Exercise Questionaire 显示文摘 | Conruy D E Motl R W &Hall E G | 2000 | Journal Sport Exercise Psychology2000，22，： | 1 |
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