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[胰腺/自体移植的实验性手术(作者译)]

[Experimental surgery in pancreas/autotransplantation (author's transl)].

作者信息

Meyer W, Kivelitz H, Petersen H, Steinmeyer C

出版信息

Langenbecks Arch Chir. 1975 Nov 17;340(2):107-15. doi: 10.1007/BF01259418.

Abstract

We have described to technique of one stage intraabdominal heterotopic pancreaticduodenal autotransplantation which has resulted in long term survival of dogs in good health. Malnutrition related to pancreatic exocrine hypofunction occurs initially but gradual recovery by 3 months nutrition is normal. In contrast, endocrine function is well preserved throughout the postoperative period except for a few days immediately after transplantation. Tolbutamide testing showed a significant prolongation of hypoglycemia as compared to controls although glucose tolerance curves were normal. There was no fibrosis after pancreas-autotransplantation. This experimental model is useful for long term evaluation of heterotopic transplantation of the pancreas. Denervation and lymphatic interruption of the pancreas may cause a transient but not definitive influence on pancreatic endocrine or exocrine function.

摘要

我们已经描述了一期腹腔内异位胰十二指肠自体移植技术,该技术已使犬长期健康存活。最初会出现与胰腺外分泌功能减退相关的营养不良,但到3个月时逐渐恢复,营养状况正常。相比之下,除移植后立即的几天外,内分泌功能在整个术后期间都得到良好保留。甲苯磺丁脲试验显示,与对照组相比,低血糖明显延长,尽管葡萄糖耐量曲线正常。胰腺自体移植后无纤维化。该实验模型有助于对胰腺异位移植进行长期评估。胰腺去神经支配和淋巴管阻断可能会对胰腺内分泌或外分泌功能产生短暂但非决定性的影响。

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