Results The ratio of cancer remnant of incision margin in the patients of bronchial wedge resection was significantly higher than that of sleeve resection (P<0.01).
Vascular resection includes portal vein or superior mesenteric vein (PV/SMV), superior mesenteric artery (SMA), PV/SMV combined with SMA, PV/SMV combined with hepatic artery (HA).
CT and pathological examinations proved that the dogs given SSS by transportal absolute ethanol injection with the injection dose of 0.3-1.0 ml/kg had a complete wedge-shaped necrosis in the liver.
From this series, bronchial wedge excisions and sleeve lobectomy for carcinoid and sleeve pneumonectomy were excluded.
Results of surgical treatment of 216 cases of pancreatic and ampullary cancer from 1962 to 1982 were analyzed. From 1962-1977, 114 cases were operated and in the second period, from 1978-1982, 102 cases. From 1962-1977, 8.8% of the cases conformed to Hermreck's criterion stage I, and from 1978-1982, 19.6% cases. The resectability of cancer of pancreatic head was 25.6% in the first period and 37.7% in the second period. Postoperatively, the 1 year-survival rate was 50% and 61% in the first and second period respectively....
Results of surgical treatment of 216 cases of pancreatic and ampullary cancer from 1962 to 1982 were analyzed. From 1962-1977, 114 cases were operated and in the second period, from 1978-1982, 102 cases. From 1962-1977, 8.8% of the cases conformed to Hermreck's criterion stage I, and from 1978-1982, 19.6% cases. The resectability of cancer of pancreatic head was 25.6% in the first period and 37.7% in the second period. Postoperatively, the 1 year-survival rate was 50% and 61% in the first and second period respectively. As to the 3 year-survival rate, it was 8.3% and 15.3% respectively. The 5 year-survival rate was nil and 11.1% respectively. The reasons for the improvement in prognosis were thought to be: (1)Specialists in this field were organized and OPD for hepato-biliary diseases was established. Systemic examinations were carried out in suspected cases. Early laparotomy was performed in high suspected cases. (2) If the diagnosis was uncertain at operation, pancreatic wedge biopsy or exploratory ducdenotomy and Oddi sphincterotomy were performed to reduce the percentage of missed diagnosis. Missed diagnosis in the first period was 8.8%, in the second period nil.(3) Staged operations were done in 30 deeply jaundiced patients in the second period. The mortality rate and postoperative complications with one stage operation were 21% and 57.8% respectively, while with staged operation, they were 10% and 30% respectively. (4) Extended regional pancreatectomy was done, including total extirpation of the peripancreatic lymph nodes together with the surrounding connective tissues. Resection and graft replacement or end to end anastomosis of portal and superior mesenteric vein was performed if necessary.
Bronchoplastic lobectomy is a kind of operative method which can treat benign or malignant bronchial lesion of the lung. The bronchus is finally reconstructed. 6 cases are reported in this paper. The operative indications, techniques and post-operative care are also discussed.
The inflammatory pseudotumor in the lung is an inflammatory hyperplastic tumor-like affection. From 1980 to 1986, 340 cases of pneumonectomy were perform- ed in our hospital of which 13 cases of inflammatory pseudotumor were confirmed by pathology. In recent years the incidence of this disease grows. Seven cases in this group were seen during the last six months. The disease mimicks lung cancer. Among these 13 cases, 9 had haemoptysis and 8 had pain in the chest. X-ray exam- inations revealed isolated focus....
The inflammatory pseudotumor in the lung is an inflammatory hyperplastic tumor-like affection. From 1980 to 1986, 340 cases of pneumonectomy were perform- ed in our hospital of which 13 cases of inflammatory pseudotumor were confirmed by pathology. In recent years the incidence of this disease grows. Seven cases in this group were seen during the last six months. The disease mimicks lung cancer. Among these 13 cases, 9 had haemoptysis and 8 had pain in the chest. X-ray exam- inations revealed isolated focus. Clinical diagnosis is difficult, none of this group was diagnosed correctly before operation. The disease may occur at any age with mild symptom and prolonged course which is different from lung cancer. During the operation, a frozen section must be taken to confirm the diagnosis and efforts should be made to preserve lung tissue as much as possible. As a rule, cuneiform re- moval of segment of lung or a lobectomy, if necessory, is done. The cause of inflam- matory pseudotumor is not yet clear and few recurrence occurred after resection.
楔形
bronchial wedge 
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