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In this paper, an anamorphic digital light processing illumination system design with a freeform surface lens is described. A lens with a freeform surface lens is combined with the achromatic total internal reflection prism set for application in a relay lens system. In order to achieve a high contrast ratio without sacrificing illumination system efficiency, the novel, to the best of our knowledge, design uses an x-y polynomial surface for the freeform surface lens to reduce the overlap angle of the anamorphic angular distribution in angular space. Moreover, there is no need to use a baffle at the aperture stop in this novel design. We can reach a half-cone angle of 17.49° in the y direction of the angular distribution in angular space. The overlap angle is only 0.98°. Finally, with this novel design, we can achieve a high contrast ratio of 9128:1 and an illumination system efficiency is 66.4%. The four-corner average spot size at the active area of the digital micromirror device chip is controlled at about 240 µm, and the optical distortion is less than 1%. The corresponding lateral color aberration is 3.61 µm.

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<p><b>OBJECTIVE</b>To evaluate the feasibility and efficacy of laparoscopic distal pancreatectomy.</p><p><b>METHODS</b>Totally 68 patients (male 23, female 45) aged 17 to 77 years, with distal pancreatic lesions, underwent laparoscopic distal pancreatectomy from November 2003 to December 2010. The clinical data were collected. Safety, feasibility and crucial technique manipulation were analyzed retrospectively.</p><p><b>RESULTS</b>All 68 operations were successful with two cases conversion to open, including 48 cases combined with splenectomy, and 18 cases with preservation of spleen. Fourteen cases received with combination resection of multi-organs, including 4 cases with cholecystectomy, 1 case resection of right adrenal adenoma and cholecystectomy, 1 case with myomectomy and left ovarian teratomectomy; 1 case with right ovarian teratomectomy, 1 case with resection of left adrenal adenoma, 1 case with resection of both adrenal adenoma, 1 case with resection of liver metastasis, 1 case with cholecystectomy and resection of liver metastasis, 1 case with resection of left adrenal adenoma and liver metastasis, 1 case with resection of left adrenal adenoma and colon and spleen, 1 case with biopsy of liver nodule. The mean operative time was (209 ± 58) minutes, the mean intraoperative blood loss was (191 ± 123) ml, and the mean postoperative hospital stay was (8 ± 4) days. The rate of overall postoperative complications was 18.1%, including an 12.1% rate of clinical pancreatic fistula. Only one case needed a reoperation, and there was no postoperative mortality.</p><p><b>CONCLUSION</b>Laparoscopic distal pancreatectomy with or without splenectomy is safe and feasible in the treatment of most distal pancreatic tumors.</p>

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<p><b>OBJECTIVE</b>To evaluate the quality of life (QOL) of the patients who received pancreaticoduodenectomy (PD) and work out their long term therapy agents.</p><p><b>METHODS</b>QOL of 18 cases who received PD (group PD) and 18 cases received laparoscopic cholecystectomy (LC) (group LC) in the same days was determined by symptoms questionnaire and Chinese version SF-36 QOL questionnaire from Jan 2002 to Dec 2003 in Sir Run Run Shaw Hospital.</p><p><b>RESULTS</b>Compared with group LC, the total QOL score and physical health score of group PD didn't have significant decrease. But the mental health score of group PD was lower than group LC (P < 0.05). Eight different scales of SF-36 questionnaire showed that the score in physical functioning, role-physical, bodily pain, general health, social functioning of group PD was lower than that of group LC. The score in vitality, role-emotional and mental health of group PD was the same as the group LC. According to the symptoms questionnaire, the patient diarrhea and recurrence had obvious influence on PH score. The patient weight loss and unemployment had obvious influence on MH2 score.</p><p><b>CONCLUSIONS</b>The QQL of patients received PD didn't have decreased. Their total score of SF-36 QQL was close to the patients who received LC. But the mental health score of group PD was lower than group LC. Weight loss, unemployment, recurrence and chronic pancreatic diarrhea may be infect the Quality of life after PD.</p>

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