Shibayama Y, Yahara M, Saitoh M, Nakata K
Department of Pathology, Osaka Medical College, Japan.
Exp Mol Pathol. 1991 Feb;54(1):41-6. doi: 10.1016/0014-4800(91)90042-v.
To clarify the pathogenesis of hyaline globules in liver cells after partial hepatectomy, the present study was undertaken in rats. When partial hepatectomy was performed by the surgical procedure of Higgins and Anderson, the inferior vena cava pressure was raised, and many hyaline globules, which are very similar to those caused by condensation of the contents of vacuoles in liver cells after temporary pressure elevation of the inferior vena cava, were induced in liver cells. On the other hand, when the median lobe and the left lateral lobe were removed carefully one at a time to avoid operative narrowing of the inferior vena cava, the inferior vena cava pressure was not elevated, and only very few hyaline globules were formed. This suggests that hyaline globules in liver cells following partial hepatectomy in rats may be caused by elevation of inferior vena cava pressure due to narrowing of the inferior vena cava by surgical procedure.
为阐明大鼠部分肝切除术后肝细胞中透明小球的发病机制,进行了本研究。采用希金斯和安德森的手术方法进行部分肝切除时,下腔静脉压力升高,肝细胞中诱导产生了许多透明小球,这些小球与下腔静脉临时压力升高后肝细胞空泡内容物浓缩所产生的小球非常相似。另一方面,当小心地一次切除中叶和左外叶以避免手术导致下腔静脉狭窄时,下腔静脉压力未升高,仅形成了极少的透明小球。这表明大鼠部分肝切除术后肝细胞中的透明小球可能是由于手术过程中下腔静脉狭窄导致下腔静脉压力升高所致。