Kamada N, Sumimoto R, Kaneda K
Department of Experimental Surgery, National Children's Medical Research Center, Tokyo, Japan.
Surgery. 1992 Feb;111(2):195-200.
The importance of hepatic artery reconstruction in the success of liver transplantation in the rat has been studied. Rat liver grafts were performed with or without reanastomosis of the hepatic artery, both in rejector and nonrejector donor/recipient combinations. No significant improvement in recipient survival was found when arterialization was performed, and histologic studies showed no differences in hepatocyte or bile duct architecture between arterialized and nonarterialized groups. Thus, arterialization does not make an important contribution to the outcome of liver transplantation in the rat; biliary complications associated with the nonarterialized method appear to be technique-related rather than the result of ischemia.
肝动脉重建对大鼠肝移植成功的重要性已得到研究。在有排斥反应和无排斥反应的供体/受体组合中,均对大鼠肝移植进行了肝动脉再吻合或不进行肝动脉再吻合。进行动脉化时,未发现受体存活率有显著提高,组织学研究表明,动脉化组和非动脉化组在肝细胞或胆管结构上无差异。因此,动脉化对大鼠肝移植的结果没有重要贡献;与非动脉化方法相关的胆道并发症似乎与技术有关,而非缺血的结果。