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To evaluate the application of intraoperative ultrasound (IOUS) during partial hepatectomy to accurately detect and remove intrahepatic bile duct stones. Intrahepatic bile duct stones were precisely localized during surgery by using IOUS. Furthermore, guiding stone extraction, and determining the scope of liver resection and choice of surgical procedures were also evaluated using this technique. Of the 25 patients used in this study, 16 patients received a left lateral liver resection, 7 patients received a left liver resection, 1 patient had a liver resection of segments V and VI, 9 patients had common bile duct stones, and 6 patients had bile duct stones that underwent jejunal Roux-en-y anastomosis. In addition, IOUS exploration after liver resection and post-operative T-tube cholangiography showed one case with residual stones. The use of IOUS showed high diagnostic accuracy, while also rectifying the misdiagnosis and missed diagnosis of bile stones in preoperative imaging. IOUS also assisted with positioning accuracy, which is very important in determining the extent of surgical resection and choice of surgical procedure. Thus, IOUS can dynamically monitor the surgical procedure, guide the operation, and inspect the outcome of operations, therefore, effectively improving the quality of operation.

Aiming at the problem that the influence factors of spare parts consumption can't be considered properly, a combined method based on grey relational analysis and supp ort vector machines (SVM) was proposed to forecast spare parts consumption. Firstly, grey relation grad between the influence factors and spare parts consumption was calculated by grey relational analysis and the selected main influence factors were taken as the input of SVM while the output was the consumption. Lastly, the test samples were input into the trained modelforforecasting. The results show that, compared with GM(J,J) model and artificial neural network (ANN) model, the proposed model has better forecast accuracy and dynamic adaptability, which can provide some references for the spare parts management section.

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