Evaluating Laparoscopic Skills: Report on the Origami Crane Folding Competition Using Laparoscopic Instruments With Objective Criteria.

Purpose: To evaluate the importance of daily laparoscopic training using laparoscopic forceps to fold origami paper cranes (a traditional Japanese paper craft) and assess the performance of laparoscopic origami crane folding in an actual competition.

Method: A competition, named the "Kaminote Challenge World Championship," was used to evaluate the effectiveness of training. The participants folded the paper cranes using laparoscopic forceps.

The clinical impact of intraoperative bleeding on peritoneal recurrence after surgery for stage II to III colorectal cancer.

Background: This study aimed to investigate the risk factors for peritoneal recurrence (PR) in patients with stage II to III colorectal cancer who underwent colorectal surgery.

Methods: A retrospective study was conducted on 232 patients who underwent colorectal surgery for stage II to III colorectal cancer. Univariate and multivariate analyses were performed to determine risk factors for PR.

Charge Transport through Single-Molecule Junctions with σ-Delocalized Systems.

Single-molecule junctions, formed by a single molecule bridging a gap between two metal electrodes, are attracting attention as basic models of ultrasmall electronic devices. Although charge transport through π-conjugated molecules with π-delocalized system has been widely studied for a number of molecular junctions, there has been almost no research on charge transport through molecular junctions with a σ-delocalized orbital system. Compounds with hexa-selenium-substituted benzene form a σ-delocalized orbital system on the periphery of the benzene ring.

Usefulness of laparoscopic inguinal hernia repair using the Endoscope Manipulator Robot (EMARO).

Purpose: This study aimed to investigate the surgical outcomes of laparoscopic inguinal hernia repair using an Endoscope Manipulator Robot (EMARO).

Methods: This retrospective study included 51 patients who underwent laparoscopic inguinal hernia repairs. The transabdominal preperitoneal approach (TAPP) has been used to treat inguinal hernias.

[A Case of Consciousness Disorder Due to Hyperammonemia Induced by Modified FOLFOX6 for Multiple Liver Metastasis from Rectal Cancer].

A 74-year-old man underwent laparoscopic-assisted high anterior resection with D3 lymph node dissection for rectal cancer, which was simultaneously accompanied by multiple liver metastases. The patient received mFOLFOX6 therapy for liver metastases 1 month after the surgery. Anorexia, nausea, and vomiting appeared on the second day of treatment.

[Ascending colon cancer with submucosal tumor-like morphology arising near ileal valve lipohyperplasia:a case report].

An 89-year-old man was diagnosed with a submucosal tumor suspected to be a lipoma and was followed up for 6 years. The patient was admitted to the hospital because of increased tumor size and morphological changes despite negative bioptic findings. The lesion was diagnosed as an advanced adenocarcinoma of the ascending colon (cT3N0M0, cStage IIa).

Treatment strategy for lymph node metastasis of hepatocellular carcinoma using an ICG navigation system: a case report.

Background: Since indocyanine green (ICG) accumulates selectively in hepatocellular carcinoma (HCC) cells, it can be used to detect metastatic lesions. Lymph node metastasis of HCC is rarely observed, both simultaneously and metachronously. Therefore, it is sometimes difficult to identify metachronous lymph nodes during salvage surgery because of prior surgery.

A rare case of inflammatory myofibroblast tumor of the stomach successfully treated by inverted laparoscopic and endoscopic cooperative surgery.

Background: An Inflammatory myofibroblastic tumor (IMT) is a rare intermediate malignancy characterized by myofibroblast proliferation and inflammatory cell infiltration. Various organs are the primary sites of origin. However, primary tumors originating in the stomach tend to be extremely rare, making the diagnosis difficult.

Laparoscopic surgery for rectal cancer with a coexisting Retzius shunt and inferior mesenteric arteriovenous malformation: A case report.

A coexisting short-circuit from the inferior mesenteric vein (IMV) to the inferior vena cava, known as a Retzius shunt, and arteriovenous malformation (AVM) of the inferior mesentery are extremely rare conditions. We encountered a case of rectal cancer with coexisting Retzius shunt and inferior mesenteric AVM successfully treated with laparoscopic surgery. Contrast computed tomography (CT) in a 62-year-old man with rectal cancer showed multiple dilated veins at the mesenterium of the descending sigmoid colon.

Activating a [FeFe] Hydrogenase Mimic for Hydrogen Evolution under Visible Light.

Inspired by the active center of the natural [FeFe] hydrogenases, we designed a compact and precious metal-free photosensitizer-catalyst dyad (PS-CAT) for photocatalytic hydrogen evolution under visible light irradiation. PS-CAT represents a prototype dyad comprising π-conjugated oligothiophenes as light absorbers. PS-CAT and its interaction with the sacrificial donor 1,3-dimethyl-2-phenylbenzimidazoline were studied by steady-state and time-resolved spectroscopy coupled with electrochemical techniques and visible light-driven photocatalytic investigations.

Ferroelectric columnar assemblies from the bowl-to-bowl inversion of aromatic cores.

Organic ferroelectrics, in which the constituent molecules retain remanent polarization, represent an important topic in condensed-matter science, and their attractive properties, which include lightness, flexibility, and non-toxicity, are of potential use in state-of-the-art ferroelectric devices. However, the mechanisms for the generation of ferroelectricity in such organic compounds remain limited to a few representative concepts, which has hitherto severely hampered progress in this area. Here, we demonstrate that a bowl-to-bowl inversion of a relatively small organic molecule with a bowl-shaped π-aromatic core generates ferroelectric dipole relaxation.

Continuous Phase Transition without Gap Closing in Non-Hermitian Quantum Many-Body Systems.

Contrary to the conventional wisdom in Hermitian systems, a continuous quantum phase transition between gapped phases is shown to occur without closing the energy gap Δ in non-Hermitian quantum many-body systems. Here, the relevant length scale ξ≃v_{LR}/Δ diverges because of the breakdown of the Lieb-Robinson bound on the velocity (i.e.

Heterobimetallic triple-decker complexes derived from a dianionic aromatic stannole ligand.

A neutral heterobimetallic triple-decker stannole complex was prepared by the reaction of an anionic ruthenocene bearing a stannole dianionic ligand with [Rh(cod)Cl]2 (cod = 1,5-cyclooctadiene), and the resulting Ru-Rh complex exhibits an electronic property different from those of the corresponding Ru-Ru and Rh-Rh complexes. The Ru-Rh complex can be decomposed in ionic liquids to metal nanoparticles.

Disodium Benzodipyrrole Sulfonate as Neutral Hole-Transporting Materials for Perovskite Solar Cells.

Hole-transporting material (HTM) is an indispensable constituent in organic electronic devices, generally comprising a donor/dopant combination. We report that a disodium salt of substituted benzo[1,2- b:4,5- b']dipyrrole bearing two racemic alkanediylsulfonate anion side chains (BDPSOs) serves as a neutral, nonhygroscopic, dopant-free HTM for lead perovskite (MAPbI) solar cells. These organic/inorganic hybrid molecules are useful for tunable orbital level and controllable solubility.

Parity-time-symmetric quantum critical phenomena.

Synthetic non-conservative systems with parity-time (PT) symmetric gain-loss structures can exhibit unusual spontaneous symmetry breaking that accompanies spectral singularity. Recent studies on PT symmetry in optics and weakly interacting open quantum systems have revealed intriguing physical properties, yet many-body correlations still play no role. Here by extending the idea of PT symmetry to strongly correlated many-body systems, we report that a combination of spectral singularity and quantum criticality yields an exotic universality class which has no counterpart in known critical phenomena.

Synthesis and reactivity of a ruthenocene-type complex bearing an aromatic π-ligand with the heaviest group 14 element.

An anionic ruthenocene derived from a dilithioplumbole complex was prepared. In the complex, the plumbole ligand coordinates a ruthenium atom in an η-fashion, similar to the cyclopentadienyl ligand in ferrocene. The ruthenocene that has the aromatic π-ligand with the heaviest group 14 element reacted with electrophiles to afford the plumbole complexes wherein the plumbole ligands show deviation from planarity, in contrast to the planar plumbole ring in the anionic ruthenocene.

Triphosphasumanene Trisulfide: High Out-of-Plane Anisotropy and Janus-Type π-Surfaces.

A triphosphasumanene trisulfide was designed and synthesized as an out-of-plane anisotropic π-conjugated molecule. Incorporating three anisotropic phosphine sulfide moieties into a sumanene skeleton induced a cumulative anisotropy with a large dipole moment (12.0 D), which is aligned in perpendicular direction with respect to the π-framework and more than twice as large as those of conventional out-of-plane anisotropic molecules.

Efficient Synthesis of 1,4-Bis-heteroatom-substituted Tetraselanylbenzenes via 1,4-Dilithiation of Hexaselanylbenzene and Investigation on Their Electronic Properties.

We successfully synthesized mono- and bis-substituted polyselanylbenzenes 3 and 5 via mono- and dilithiation of hexakis(phenylselanyl)benzene (1), respectively. Introduction of various heteroatom functionalities into hexaselanylbenzene changed the electronic properties dependent on the σ-symmetric circular orbitals that were formed by the interactions between neighboring heteroatoms. In the cyclic voltammetry and theoretical studies on bis-heteroatom-substituted benzenes 5, the extent of the interactions in the circular orbitals with σ-symmetry affected the stability of the cationic species of 5.

Benzodipyrrole-based Donor-Acceptor-type Boron Complexes as Tunable Near-infrared-Absorbing Materials.

Benzodipyrrole-based donor-acceptor boron complexes were designed and synthesized as near-infrared-absorbing materials. The electron-rich organic framework combined with the Lewis acidic boron co-ordination enabled us to tune the LUMO energy level and the HOMO-LUMO gap (i.e.

The Chemistry of Heterasumanenes.

Our studies on the synthesis of heterasumanenes, where benzylic carbon atoms of the sumanene are replaced by heteroatom functionalities, are summarized. Starting from triphenylene, repetitive lithiation at a bay position followed by introduction of silylene or germylene units provided the first trisila- and trigermasumanenes with no substituents on the skeletal carbon atoms. The synthesis of a trisilasumanene bearing six butoxy groups on the skeletal carbon atoms was also accomplished by our original sila-Friedel-Crafts reaction.

Synthesis of π-extended dibenzophospholes by intramolecular radical cyclization and their properties.

Intramolecular radical cyclization of phosphine oxides (R(1)R(2)P(O)H) induced by radical generators affords the corresponding dibenzophosphole oxides in excellent yields. By applying this method, linearly π-extended ladder-type dibenzophosphole oxides were successfully synthesized.

Integer quantum Hall state in two-component Bose gases in a synthetic magnetic field.

We study two-component (or pseudospin-1/2) Bose gases in a strong synthetic magnetic field. Using exact diagonalization, we show that a bosonic analog of an integer quantum Hall state with no intrinsic topological order appears at the total filling factor ν=1+1 when the strengths of intracomponent and intercomponent interactions are comparable with each other. This provides a prime example of a symmetry-protected topological phase in a controlled setting of quantum gases.