Effect Of Preservation Research Articles

Synthesis and Characterization of Cellulose <i>Nata de Coco</i> Inserted Nanoparticles Zn-Moringa Leaf Extract (<i>Moringa oleifera</i>) as Biodegradable plastic Banan Fruit Packaging

Synthesis and characterization of cellulose nata de coco inserted nanoparticles of zinc-moringa leaf extract as biodegradable plastic for banana fruit packaging has been carried out. This study aims to determine the characteristics, biodegradability and preservation activity of biodegradable plastic cellulose nata de coco inserted zinc nanoparticles-moringa leaf extract. The research process was carried out through the nata de coco synthesis stage, zinc nanoparticle synthesis-moringa leaf extract and the manufacture of biodegradable plastics. The success of this synthesis is evidenced by being characterized using a UV-Vis spectrophotometer, FTIR spectrophotometer and digital optical microscope. The results of UV-Vis spectrophotometer analysis showed that the zinc nanoparticles formed had an estimated particle size of 85.72-92.92 nm and were stable. The results of FTIR analysis on Moringa leaf extract showed the presence of -OH, C-H, C=O, C=C and C-O groups. In the biodegradable plastic film nata de coco-NPZn-moringa leaf extract, there was a peak shift in several functional groups marked at the peaks of wavenumbers 555.50 and 432.05 cm-1 which are ZnZP groups. Characterization using a digital optical microscope showed that zinc nanoparticlesThe synthesis is spherical, non-uniform, and has been well distributed on the cellulose surface of nata de coco. Biodegradation test on nata de coco-NPZn-Moringa leaf extract biodegradable plastic film using activated sludge system, test results show biodegradable plastic can be degraded 100% for 15 days. Preservation activities show that packaged bananas are still able to survive up to 8 days of post-harvest storage period. These results show the effectiveness of biodegradable plastic preservation of nata de coco-NPZn-moringa leaf extract biodegradable plastic which is quite good.

Edible Coating for Fresh-Cut Fruit and Vegetable Preservation: Biomaterials, Functional Ingredients, and Joint Non-Thermal Technology.

This paper reviews recent advances in fresh-cut fruit and vegetable preservation from the perspective of biomacromolecule-based edible coating. Biomaterials include proteins, polysaccharides, and their complexes. Compared to a single material, the better preservation effect was presented by complexes. The functional ingredients applied in the edible coating are essential oils/other plant extracts, metals/metal oxides, and organic acids, the purposes of the addition of which are the improvement of antioxidant and antimicrobial activities and/or the mechanical properties of the coating. The application of edible coating with other preservation technologies is an emerging method, mainly including pulsed light, short-wave ultraviolet, modified atmosphere packaging, ozonation, and γ-irradiation. In the future, it is crucial to design coating formulations based on preservation goals and sensory characteristics. The combination of non-thermal preservation technology and edible coating needs to be strengthened in research on food preservation. The application of AI tools for edible coating-based preservation should also be focused on. In conclusion, edible coating-based preservation is promising for the development of fresh-cut fruits and vegetables.

Comparative Analysis of CNNs and Vision Transformers for Automatic Classification of Abandonment in Douro’s Vineyard Parcels

The Douro Demarcated Region is fundamental to local cultural and economic identity. Despite its importance, the region faces the challenge of abandoned vineyard plots, caused, among other factors, by the high costs of maintaining vineyards on hilly terrain. To solve this problem, the European Union (EU) offers subsidies to encourage active cultivation, with the aim of protecting the region’s cultural and environmental heritage. However, monitoring actively cultivated vineyards and those that have been abandoned presents considerable logistical challenges. With 43,843 vineyards spread over 250,000 hectares of rugged terrain, control of these plots is limited, which hampers the effectiveness of preservation and incentive initiatives. Currently, the EU only inspects 5 per cent of farmers annually, which results in insufficient coverage to ensure that subsidies are properly used and vineyards are actively maintained. To complement this limited monitoring, organisations such as the Instituto dos Vinhos do Douro e do Porto (IVDP) use aerial and satellite images, which are manually analysed to identify abandoned or active plots. To overcome these limitations, images can be analysed using deep learning methods, which have already shown great potential in agricultural applications. In this context, our research group has carried out some preliminary evaluations for the automatic detection of abandoned vineyards using deep learning models, which, despite showing promising results on the dataset used, proved to be limited when applied to images of the entire region. In this study, a new dataset was expanded to 137,000 images collected between 2018 and 2023, filling critical gaps in the previous datasets by including greater temporal and spatial diversity. Subsequently, a careful evaluation was carried out with various DL models. As a result, the ViT_b32 model demonstrated superior performance, achieving an average accuracy of 0.99 and an F1 score of 0.98, outperforming CNN-based models. In addition to the excellent results obtained, this dataset represents a significant contribution to advancing research in precision viticulture, providing a solid and relevant basis for future studies and driving the development of solutions applied to vineyard monitoring in the Douro Demarcated Region. These advances not only improve efficiency in detecting abandoned plots, but also contribute significantly to optimising the use of subsidies in the region.

Effectiveness of Organ Preservation for Locally Advanced Rectal Cancer With Complete Clinical Response After Neoadjuvant Chemoradiotherapy: Bayesian Network Meta-analysis.

Neoadjuvant chemoradiotherapy followed by radical surgery is the common treatment for patients with locally advanced rectal cancer. Presently, for patients with complete clinical response after neoadjuvant chemoradiotherapy, organ preservation ("watch-and-wait" and local excision strategies) has been increasingly favored. However, the optimal treatment for patients with complete clinical response remains still unclear. This study aimed to use Bayesian meta-analysis to determine the best treatment for patients with locally advanced rectal cancer with complete clinical response among radical surgery, local excision, and watch and wait strategies. PubMed, Web Of Science, Cochrane Library and Embase(Ovid) were searched until December 31, 2023. Studies that compared two or more treatments for patients with complete clinical response were included. The analysis was completed via Bayesian meta-analysis using random-effects model. Surgery-related complications, local recurrence, distant metastasis, 5-year overall and disease-free survival rate. Eleven articles met inclusion criteria. The groups of watch and wait and local excision exhibited a higher rate of tumor recurrence compared to radical surgery group (OR [95% CI]: watch and wait VS radical surgery: 9.10 [3.30, 32.3], local excision VS radical surgery: 2.93 [1.05, 9.95]). The distant metastasis, overall and disease-free survival rates of 3 treatments were not statistically different. The radical surgery group had the most number of stoma, and had the greatest risk of morbidity than the watch and wait group (OR[95%CI]: watch and wait VS radical surgery: 0.00 [0.00, 0.12]). The study included only 1 randomized controlled trial compared to 10 observational studies, which could affect overall quality. Funnel plots of disease-free survival rates and stoma suggest significant publication bias among studies which compared radical surgery with watch and wait strategy. The watch and wait strategy could be optimal for patients with locally advanced rectal cancer with complete clinical response after neoadjuvant chemoradiotherapy.

Efficacy of reactive soft tissue for alveolar ridge preservation: a prospective cohort study.

This study aimed to investigate the effect of alveolar ridge preservation (ARP) sealing using reactive soft tissue (RST) or collagen sponge (CS), in combination with deproteinized bovine bone mineral (DBBM), for teeth with bone deficiency. In this study, 44 patients were recruited. During ARP therapy, RST or CS was applied for socket sealing. Horizontal and vertical bone dimensions were assessed before extraction (T0) and 6 months after ARP (T2). Modified Masse healing index (HI) was recorded to evaluate the soft tissue healing at 14 days after ARP (T1) and T2. Keratinized mucosa width (KMW) was measured at T0 and T2. Biopsies were collected during implant placement for histological analysis. This study was finished by 40 patients. Horizontal ridge gains at 1, 3, and 5mm below the crest were comparable in RST (4.37/5.57/4.16mm) and CS (3.57/4.66/2.97mm) groups. Similar vertical bone gains at both buccal and lingual sides were observed in RST and CS groups. Notably, the sockets in the RST group exhibited a significantly better early healing score (6) at T1 relative to the CS group (7) (p = 0.003). There was no significant difference in KMW changes as well as new bone proportion between the groups. RST and CS, when combined with DBBM, both effectively reduced ridge resorption in sockets with bone deficiency. RST demonstrated a more favorable effect on the early healing of sockets. RST is a promising socket sealing material in ARP, which reduces bone resorption, and promotes soft tissue healing. Clinical trial registration Number: ChiCTR2200061459.

Research progress of ultrasound technology and its combined application in fruit and vegetable storage

AbstractUsing efficient and safe preservation technologies to extend the shelf life of fruits and vegetables is always an important research topic. Among numerous preservation technologies, ultrasound is one of the most available and pollution-free methods that improve the storage quality of fruits and vegetables. The paper summarises the application of ultrasound and its combined treatment in fruit and vegetable storage in recent years, including the cleaning effect, passivation of enzymes, sterilisation, and the impact on quality indicators. In addition, the limitations of ultrasound technology in fruit and vegetable preservation are also detailed. Only under the appropriate conditions can ultrasound treatment extend the shelf life of fruits and vegetables. However, ultrasound combined with other technologies usually can get better preservation effects, providing a broader application prospect for ultrasound technology.

Preparation of Physalis alkekengi L. calyx total flavonoids-chitosan composite film and its effect on preservation of chilled beef.

In the present study, Physalis alkekengi L. calyx total flavonoids (PCTF) were extracted using the ultrasound-assisted ethanol method and separated and purified using macroporous resin AB-8. Physalis alkekengi L. calyx total flavonoid-chitosan (PCTF-CS) composite films containing 0.05 %, 0.10 % and 0.15 % PCTF were prepared using the purified PCTF laminated with chitosan (CS) and compared with single CS films, respectively, to investigate their mechanical properties, barrier properties, optical properties, microstructure, crystallography, thermal stability, water contact angle, particle size and zeta potential, antioxidant property, antimicrobial property, and preservation effect on chilled beef. The PCTF-CS films with PCTF additions had darker colors and higher mechanical and barrier properties than the CS films. In addition, the addition of PCTF improved the antioxidant and antimicrobial properties of the CS films. It enhances the freshness retention of fresh beef, and effectively inhibits the rise of weight loss, pH, total bacteria, total volatile basic nitrogen, and thiobarbituric acid reactive substances in beef, prolonging the shelf life of beef. These results indicate that the addition of PCTF can provide CS films with superior functional properties and bioactivities and that PCTF-CS composite films are a potential and promising packaging material for food preservation.

Calcium alginate-encapsulated propolis microcapsules: Optimization, characterization, and preservation effects on postharvest sweet cherry

The increasing consumption of fresh fruits and vegetables has led to the development of eco-friendly and active preservation materials which have slow-release effect of antioxidant/antifungal agents. The propolis microcapsules (PM), utilizing calcium alginate as the wall material, incorporating ethanolic extract of propolis (EEP) as the core material, were prepared by ionic gelation method and conducted a investigation of its characteristics After optimization by single factor experiment and theoretical response models, PM which was prepared by dropping 9.3 g L−1 100 mL sodium alginate solution containing 9.8 mL EEP into 0.22 mol L−1 calcium chloride solution showed an encapsulation efficiency of 69.29±1.12 %. Prepared microcapsules were spherical with a dense surface which protected propolis well from the environment, retained a large number of bio-active compounds and improve thermal stability of propolis. Moreover, the microcapsules exhibited good slow-release effect and good inhibitory influence on the development of Alternaria Alternata growth which the colony diameter of the control was 41.38 % higher than the treatment at day six. With 5.0 g PM placed in the small non-woven bag in the application on sweet cherries with non-direct contact method, the decay rate and weight loss of fruits were reduced by 47.5 % and 17.6 %, concurrently the PM also effectively maintain the good appearance, hardness, antioxidant capacity by slowing the reduction in the content of total phenols, flavonoids and enzymatic activities. Therefore, the PM with superior antioxidant and antifungal capacity have the great potential to design as a practical active materials for fruits preservation.

TMT-based quantitative proteomics reveals the effects of electromagnetic field and freezing preservation techniques on mutton quality

This study investigated the effects of electromagnetic field preservation (EP) and freezing storage (FS) on the quality of northern Qianbei Ma mutton. Using tandem mass tagging (TMT)-labeled quantitative proteomics and bioinformatics, it was observed that EP more effectively inhibited pH increase and maintained a* and b* values compared to FS. Furthermore, the EP group was able to better maintain the water-holding capacity and tenderness of the mutton under prolonged storage. Proteomics analysis identified 397 differentially expressed proteins (DEPs) between the two storage methods at the same storage duration. GO and KEGG enrichment analyses indicated that proteins such as A0A452DSW4, A0A452E8M7, and D3JYV6 were involved in energy metabolism and redox processes, while A0A452EJ66, A0A452DSW4, and A0A452FJE8 played significant roles in protein binding. Overall, EP technology demonstrated superior benefits for maintaining mutton quality, suggesting a novel approach for mutton preservation.

Amyloid Nanofilm-Induced surface mineralization of 3D-Printed Polyetheretherketone scaffolds for in situ orbital bone regeneration and repair

Orbital bone defect repair is both challenging and crucial and requires the comprehensive consideration of anatomical complexity, functional preservation, aesthetic outcomes, postoperative risks, and long-term effects. Polyetheretherketone (PEEK) is a promising orthopedic substitute material due to its cortical bone-like elastic modulus, biocompatibility, chemical stability, and natural radiolucency. However, PEEK is bioinert and lacks interfacial bioactivity, which limits its ability to promote bone growth and osseointegration. In this study, we fabricated porous PEEK scaffolds using Fused Deposition Modeling (FDM) 3D printing technology. We employed a phase-transitioned lysozyme (PTL) nanofilm as the organic matrix template to construct a robust hydroxyapatite (HAp) coating both inside and outside the porous PEEK scaffold, generating HAp@PTL@PO-PEEK. The PTL nanofilm acted as a strong glue, enhancing the interfacial bonding strength between the HAp coating and PEEK. In vitro cell biology experiments revealed that HAp@PTL@PO-PEEK promoted the proliferation and osteogenic differentiation of bone marrow mesenchymal stem cells. Furthermore, the modified scaffolds exhibited excellent osteoconductivity and osteoinductivity in the in vivo repair of rabbit orbital bone defects, promoting new bone formation and guiding new bone growth into the scaffold. Therefore, HAp@PTL@PO-PEEK scaffolds hold potential for clinical craniomaxillofacial bone regeneration and repair.

Xyloglucan based edible coating in combination with Borassus flabellifer seed coat extract for extending strawberry postharvest shelf life

In this study, xyloglucan (XG) based edible coatings were developed and combined with a bioactive compound, Borassus flabellifer seed coat extract (BFE). The effect of designed edible coatings on the quality of strawberry fruits was investigated over an 8-day storage under ambient conditions. The results revealed the preservation effects in intrinsic properties of coated strawberries that the XG/BFE coated strawberries showed superior maintenance of qualitative parameters over uncoated strawberries, showing delayed weight loss, pH, and total soluble solids, tritratable acidity, retained firmness and lightness, as well as minimized the total color difference at the end of storage. Furthermore, the inclusion of BFE significantly enhanced the antimicrobial properties of developed edible coatings, evidenced by reduced microbial load. These results paved a solid way for designing the active edible XG/BFE coating for maintaining the postharvest quality and extending the shelf life of strawberries under ambient conditions.

Application of a new packaging material in the postharvest quality and spoilage microorganisms bacteria of morels

In this study, we screened out the dominant spoilage microorganisms during the cold storage of morels, prepared composite paper with a targeted selection of antimicrobial active substances, applied the composite paper to morels for cold storage and preservation, and investigated the changes of physicochemical indexes, flavor-presenting nucleotides and enzyme activities throughout the process of storage, and evaluated the freshness preservation effect. The pathogenic microorganisms during the natural spoilage of Morels were isolated and purified at 4 °C. The dominant spoilage microorganisms obtained were: bacterium B1 (Lelliia amnigena), fungi F2 (Paecilomyces penicillatus) and F3 (Mucor hiemalis). Inhibition experiments were carried out by selecting various active antimicrobial agents—lemon essential oil, clove essential oil and nisin (NI)—against the dominant spoilage microorganisms B1, F2 and F3. Comparing the inhibitory effects, NI was selected as an inhibitor for the dominant spoilage microorganisms following comprehensive consideration. The antimicrobial system (NI/C-CNC) was prepared by incorporating NI into carboxylated cellulose nanocrystals (C-CNC), and it exhibited a strong blocking effect on ultraviolet rays, which became more pronounced with the increase of NI addition. The composite paper NI-C was prepared using the NI/C-CNC antimicrobial system and absorbent paper (100 % virgin wood pulp), which showed better mechanical properties and reduced water vapor transmission rate (WVP). NI-C composite paper was applied to the preservation of morels, which effectively inhibited the dominant pathogenic bacteria. The flavor 5′-nucleotides were effectively protected, and it significantly slowed down the change in hardness during storage of morels. It also inhibited lipid peroxidation, as evidenced by the accumulation of malondialdehyde (MAD) content and reactive oxygen species (ROS), and had a positive effect on the control of enzyme activity. NI-C antimicrobial composite paper has good application prospects in the field of packaging of morels.

An Empirical Investigation on Level of Awareness regarding Processed and Packaged Food Among Youth of Haryana

Purpose -To study the consumer’s cognizant and attitude towards processed and packaged food. Research Methodology- Respondents were selected by using stratified convenience sampling method. 145 respondents from Haryana were interviewed. A structured questionnaire was used to assess the level of awareness in special reference to packaged and processed food among youth. The Statistical tools like crosstab analysis and chi-square test were employed. Findings: From the results it is evident that education and income levels play an important role in being cognizant regarding packaged and processed food whereas other demographic variables like age, gender, occupation were found to be insignificantly differentiating the various groups of respondents. Implications- The majority of respondents expressed strong intentions to purchase packaged goods that are environmentally friendly. The awareness level regarding effect of Preservatives, food colours, MSG in the preparation of the food is very high. Indian consumers' dietary habits are being influenced by changing socio-cultural trends. So, manufacturers should check the quality and level of Preservatives, food colours, MSG and eco-friendly packaging which will cause lesser amount of degradation of environment.

Preservation effect of chitosan and salicylic acid-based composite coatings on the postharvest quality of Lemons (Citrus limon L. Burm)

Preservation effect of chitosan and salicylic acid-based composite coatings on the postharvest quality of Lemons (Citrus limon L. Burm)

Novel probiotic fermented edible film based on gum arabic/whey protein isolate/isomalt/glycerol incorporated with Lactobacillus rhamnosus: Physical, antibacterial, and fresh pork preservation properties

Some probiotic films have not shown satisfactory antibacterial performance, which limits their application in food. The purpose of this study is to improve the antibacterial activity of probiotic film by using probiotics to ferment the film solution, and to solve the problem of weak antibacterial performance of probiotic film. In this study, the solution composed of gum arabic/whey protein isolate/isomalt/glycerol was firstly fermented by Lactobacillus rhamnosus (L. rhamnosus) HN001, and then prepared into probiotic fermented films. The effect of probiotic fermentation on the films properties was systematically evaluated in this study. These results demonstrated that probiotic fermentation enhanced the mechanical strength, water barrier properties, thermal stability, and antioxidant activity of the films. According to the scanning electron microscopy (SEM), the probiotic-fermented films exhibited a more compact and coherent structure. Characterization of the films revealed that probiotic fermentation improved the compatibility between the film components and altered the conformation of whey protein. Compared to the non-fermented probiotic films, the probiotic-fermented films exhibited an 11% increase in the inhibition rate against Staphylococcus aureus and a 21% increase in the inhibition rate against Salmonella. The probiotic-fermented films successfully delayed the spoilage of fresh pork stored at 4 °C, effectively inhibiting microbial growth and reproduction, demonstrating a more effective preservation effect than the non-fermented probiotic films. This study provides an effective and convenient method for improving the antibacterial properties and preservation effect of probiotic films.

Beet Root Peel Extract as a Natural Cost‐Effective pH Indicator and Food Preservative in Edible Film: Shelf Life Improvement of Cold‐Stored Trout Fillet

ABSTRACTIn this study, chitosan (C)‐polyvinyl alcohol (P) edible film containing bio‐fabricated nanosilver particles (nAg) (as antimicrobial agent) and beetroot peel extract (BRPE) (as antioxidant agent and pH indicator) was used as spoilage indicator in cold‐stored rainbow trout fillets. DPPH (2,2‐diphenyl‐1‐picrylhydrazyl) radical scavenging activity (43.02%), reducing power (2.87), and total phenolic content (360.50 mg GAE/g) of ethanolic BRPE were higher than aqueous extract. Silver nanoparticles were biosynthesized using silver nitrate reduction by chitosan, confirmed by UV–Visible spectroscopy, optical and scanning electron microscope images, and X‐ray diffraction analysis. The highest tensile strength (4.20 MPa) and elongation at break (118%) belonged to the CP‐BRPE film, and the lowest water vapor permeability (2.45 10−5 g/s/m/P) was related to the CP‐nAg film. Also, the lowest total viable count (6.17 log CFU/g), psychrotrophic bacteria (6.27 log CFU/g), Enterobacteriaceae (4.9 log CFU/g), pH (5.66), total volatile basic‐nitrogen (TVB‐N) (22.1 mg/100 g of fish), and thiobarbituric acid reactive substances (TBARS) (0.705 mg MDA/kg of fish) values of the packaged trout fillets were significantly (p ≤ 0.05) observed in CP‐BRPE‐gnAg treatment among the other treatments at the end of the storage period, and CP‐gnAg, CP‐BRPE, and CP treatments were in the next ranks, respectively. Colorimetric analysis of the used films showed that the films containing BRPE depicted color spectra of red to yellow at the same time as the spoilage symptoms initiated in the packaged fillets. It is concluded that BRPE not only increased the preservative effects of chitosan‐polyvinyl alcohol film containing green silver nanoparticles but also can be considered as a natural cost‐effective spoilage indicator of the rainbow trout fillets during cold storage time.

Effects of 1-Methylcyclopropene Treatment on Postharvest Quality and Metabolism of Different Kiwifruit Varieties.

The kiwifruit (Actinidia) is an important nutritional and economic fruit crop. However, the short edible window period of kiwifruit has seriously affected its market value. 1-Methylcyclopropene (1-MCP), as a novel ethylene inhibitor, is widely applied to delay fruit ripening and senescence. To our knowledge, there are limited studies on the effects of 1-MCP on fruit quality and metabolism of different kiwifruit varieties. Three kiwifruit cultivars (i.e., 'Xuxiang', 'Huayou', and 'Hayward') widely cultivated in China were chosen as our research objects. The variations of storage quality and metabolic characteristics of kiwifruits treated with various 1-MCP concentration (0 μL/L, 0.5 μL/L, and 1.0 μL/L) were systematically investigated. The results showed that 1-MCP treatment significantly improved the quality of kiwifruit during storage. Among them, for 'Xuxiang' and 'Hayward' varieties, 1.0 μL/L 1-MCP treatment could delay the decrease in fruit firmness, the increase in maturity index and cellulase activity, and inhibit the decrease in ascorbic acid (AsA) level. However, the 0.5 μL/L 1-MCP had a great influence on the chlorophyll content and maturity index of the 'Huayou' cultivar, and the preservation effect was satisfactory. In addition, gas chromatography-mass spectrometry (GC-MS) based metabolomics studies revealed that 1-MCP treatment affected carbohydrates metabolism, fatty acids metabolism, and amino acids metabolism in different kiwifruit varieties. Correlation analysis indicated that sugars metabolism has the closest relationship with postharvest physiological quality. This research indicated that the effectiveness of 1-MCP treatments was dependent on fruit variety and treatment concentration. Furthermore, these findings provide a theoretical foundation for extending the shelf life of different kiwifruit varieties.

Vagus Nerve Preservation for Early Distal Gastric Cancer With Monitoring and Indocyanine Green Labeling

Radical gastric cancer surgery can cause functional and physiological disorders due to the resection of perigastric vagus nerves. Few studies have used intraoperative neurophysiological monitoring and indocyanine green (ICG) labeling to preserve the perigastric vagus nerve and to evaluate the corresponding effects. To assess the feasibility and effects of vagus nerve preservation using neurophysiologic monitoring and ICG labeling during laparoscopic distal gastrectomy in patients with early distal gastric cancer. This open-label, prospective randomized clinical trial initially enrolled 285 patients with clinical stage cT1N0M0 distal gastric cancer from May 2022 to May 2023. This trial was conducted at Qilu Hospital of Shandong University in Jinan, China, and enrolled patients aged 18 to 80 years with histologically proven gastric adenocarcinoma scheduled for distal gastrectomy. The final follow-up examination was performed May 1, 2024. Eligible participants were randomly assigned 1:1 to vagus nerve preservation distal gastrectomy (VPG) or vagus nerve resection distal gastrectomy (VRG). The primary outcome was the incidence of postsurgical gastroparesis. Secondary outcomes included postoperative gallstone formation, quality of life, morbidity, mortality, overall survival, and disease-free survival up to 12 months postoperatively. All analyses were based on both intention-to-treat and per-protocol analyses. Of 264 patients included in the intention-to-treat analysis, the median (IQR) patient age was 58.0 (52.0-67.0) years, and 67 patients (25.4%) were female. Both the VPG and VRG groups included 132 patients. Postoperative gastroparesis occurred in 1 patient (0.8%) in the VPG group and in 10 patients (7.6%) in the VRG group. Gallstones developed in 0 patients in the VPG group and in 9 patients (6.8%) in the VRG group. As assessed by mean (SD) score on the 30-item European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, the VRG group experienced more nausea and vomiting at 6 months postsurgery (19.38 [7.62]) than the VPG group (17.15 [9.21]) (P = .03) and had significantly higher rates of persistent appetite loss, reflux symptoms, and eating difficulties at both 6 months and 12 months than the VPG group. Differences in postoperative complications and metastasis were not significant. Neurophysiologic monitoring and ICG labeling during distal laparoscopic gastrectomy for vagus nerve preservation in patients with early distal gastric cancer are safe and feasible. Preserving the perigastric vagus nerve may retain the function of the remnant stomach and improve quality of life. Chictr.org.cn Identifier: ChiCTR2200059489.

Effect of left colonic artery preservation on perfusion at the anastomosis in rectal cancer surgery evaluated with intraoperative ultrasound

PurposeIntraoperative ultrasound was used to assess the flow velocity in the marginal vessel arch adjacent to the anastomosis, critical for evaluating the anastomotic blood supply. This technique also enabled us to investigate the potential effects of preserving the left colonic artery on the perfusion of the anastomosis.MethodsThis prospective study included 40 rectal cancer patients who underwent laparoscopic anterior resection between January 2021 and January 2023. The length of the inferior mesenteric artery (IMA) was measured from its origin to the first branch, and the diameters of the mesenteric vessel IMA, left colonic artery (LCA), and marginal mesenteric artery (MMA) were recorded. Blood flow velocity and Doppler ultrasound waveforms of the MMA near the anastomosis were collected. Measurements were taken both before and after clamping the IMA using atraumatic forceps. The tardus parvus pattern of the MMA ultrasound waveforms was recorded to evaluate the hypoperfusion status of the anastomosis.ResultsThe mean velocities of MMA were 47.9 cm/s before clamping and 34.9 cm/s after atraumatic clamping, indicating significant differences (p < 0.05). Thirteen patients (32.5%) exhibited a Tardus parvus pattern after IMA atraumatic clamping. Multivariate analysis revealed older age and LCA diameter as independent clinical predictors of the hypoperfusion status after IMA clamping.ConclusionsPreservation of the LCA may improve perfusion near the anastomosis during rectal cancer surgery. Older age and LCA diameter can be considered useful predictors of the mesenteric hypoperfusion status after IMA ligation. Intraoperative ultrasound can evaluate the perfusion of the MMA near the anastomosis.Chinese Clinical Trial Registry—Registration number: ChiCTR2000041475

EXTH-38. EVALUATION OF STORAGE CONDITIONS ON SERUM-DERIVED EXTRACELLULAR VESICLES IN BRAIN TUMOR SAMPLES

Abstract Tumor-derived Extracellular Vesicles (EVs) are emerging as potential liquid biopsy tool in the field of cancer diagnosis and therapeutic targets. The functionality of EVs depends on its diverse cargo, which is known to alter host-receipient cells. Nevertheless, extracting EVs while preserving its integrity and functionality of its contents is challenging, specifically in Low-middle Income countries (LMIC) countries. Our study focussed on extraction of serum derived EVs analysis from brain-tumor samples encompassing Oligodendrogliomas, Astrocytomas and Glioblastomas. The stability of EVs were examined in serum stored for 2 years at -80°C to understand the effect of preservation and storage in different conditions, that were left exposed to room temperature for variable periods of time before freezing. To explore the optimal suitable conditions, EVs were isolated from serum samples using IZON column size-exclusion based-method, and evaluated for structural integrity and stability through nanoparticle tracking analysis (NTA) and transmission electron microscopy (TEM) technology. Interestingly, the majority of isolated vesicles exhibited round, intact structure with bilayer membrane of size varying between 30 - 250nm. Moreover, protein content of EVs positive markers (CD63, CD81 and CD9) was also detected with minimal contaminations evidenced by weak bands for negative marker (ApoB), as determined by Western blot analysis. Further, column-based EV-derived RNA demonstrated optimal yield and purity was confirmed by RNA integrity number (RIN) using Qubit. While cryopreservation had minimum detrimental effects on mRNA sample quality, leaving it exposed to room temperature before freezing had a significant effect on EV isolation, as samples were often haemolyzed. This will provide insights in optimizing pre-analytical and analytical procedures for more effective outcomes in the clinical setting