Tsuchiya H, Nagashima K
Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, Saitama, Japan.
Surg Today. 2000;30(4):397-9. doi: 10.1007/s005950050610.
The present study was conducted to analyze the regeneration of lymphatic vessels and lipometabolism in an experimental rat model of extensive dissection of the abdominal periaortic lymphatic vessels and lymph nodes from the renal artery to the mesenteric and celiac artery. Findings showing the regeneration of mesenteric lymphatic vessels were classified as complete, incomplete, or no regeneration. The incomplete regeneration of fine irregular lymphatic vessels was observed in all rats, 2 and 3 weeks postoperatively. At the same time, triglyceride (TG) was found to be significantly lower (P < 0.05) in the rats that were given extensive dissection than in the control group, due to chylomicron blockade after lymphatic dissection. The TG recovered to within the normal range around 4 weeks postoperatively following the growth of fine regenerated lymphatic vessels or collateral route formation.
本研究旨在分析腹主动脉周围淋巴管及淋巴结从肾动脉至肠系膜动脉和腹腔动脉广泛剥离的实验大鼠模型中淋巴管的再生和脂肪代谢。显示肠系膜淋巴管再生的结果分为完全再生、不完全再生或无再生。术后2周和3周时,所有大鼠均观察到细小不规则淋巴管的不完全再生。同时,由于淋巴管剥离后乳糜微粒受阻,广泛剥离组大鼠的甘油三酯(TG)显著低于对照组(P<0.05)。术后约4周,随着细小再生淋巴管的生长或侧支循环的形成,TG恢复到正常范围内。