Right umbilical portion(RUP) is a rare congenital anomaly associated with anomalous ramifications of the hepatic vessels and biliary system. As such, major hepatectomy requires a careful approach. We describe the usef...Right umbilical portion(RUP) is a rare congenital anomaly associated with anomalous ramifications of the hepatic vessels and biliary system. As such, major hepatectomy requires a careful approach. We describe the usefulness of the Glissonean approach in two patients with vessel anomalies, such as RUP. The first patient underwent a right anterior sectionectomy for intrahepatic cholangiocarcinoma. We encircled several Glissonean pedicles that entered the right anterior section along the right side of the RUP. We temporarily clamped each pedicle, confirmed the demarcation area, and finally cut them. The operation was performed safely and was successful. The second patient underwent a left trisectionectomy for perihilar cholangiocarcinoma. We secured the right posterior Glissonean pedicle. The vessels in the pedicle were preserved, and the other vessels and contents were resected. Identifying the vessels for preservation facilitated the safe lymphadenectomy and dissection of the vessels to be resected. We successfully performed the operation.展开更多
The fabrication of sintered diamond/metal composites bodies composed of diamond filler with the average particle size of 15 μm to 30 μm and metal binder (Ag-Cu-Ti system brazing) was attempted by powder metallurgica...The fabrication of sintered diamond/metal composites bodies composed of diamond filler with the average particle size of 15 μm to 30 μm and metal binder (Ag-Cu-Ti system brazing) was attempted by powder metallurgical sintering process at 700℃ to 1000?C in vacuum atmosphere. As a result, dense bulks of sintered diamond/metal composites were obtained by this powder metallurgical sintering process. The increase of sintering temperatures from 750℃ to 950℃ and of pressure enhanced the density of sintered diamond/metal composites during the hot-pressing in vacuum. All bulks prepared at the temperatures of 750?C to 950℃ were composed of diamond phase and Ag-Cu-Ti system brazing without any other phase for sintered bulks for diamond/metal composites. Furthermore, some properties were evaluated for sintered diamond/metal composites.展开更多
文摘Right umbilical portion(RUP) is a rare congenital anomaly associated with anomalous ramifications of the hepatic vessels and biliary system. As such, major hepatectomy requires a careful approach. We describe the usefulness of the Glissonean approach in two patients with vessel anomalies, such as RUP. The first patient underwent a right anterior sectionectomy for intrahepatic cholangiocarcinoma. We encircled several Glissonean pedicles that entered the right anterior section along the right side of the RUP. We temporarily clamped each pedicle, confirmed the demarcation area, and finally cut them. The operation was performed safely and was successful. The second patient underwent a left trisectionectomy for perihilar cholangiocarcinoma. We secured the right posterior Glissonean pedicle. The vessels in the pedicle were preserved, and the other vessels and contents were resected. Identifying the vessels for preservation facilitated the safe lymphadenectomy and dissection of the vessels to be resected. We successfully performed the operation.
文摘The fabrication of sintered diamond/metal composites bodies composed of diamond filler with the average particle size of 15 μm to 30 μm and metal binder (Ag-Cu-Ti system brazing) was attempted by powder metallurgical sintering process at 700℃ to 1000?C in vacuum atmosphere. As a result, dense bulks of sintered diamond/metal composites were obtained by this powder metallurgical sintering process. The increase of sintering temperatures from 750℃ to 950℃ and of pressure enhanced the density of sintered diamond/metal composites during the hot-pressing in vacuum. All bulks prepared at the temperatures of 750?C to 950℃ were composed of diamond phase and Ag-Cu-Ti system brazing without any other phase for sintered bulks for diamond/metal composites. Furthermore, some properties were evaluated for sintered diamond/metal composites.
