Ismail Alaa, Fouad Ossama, Abdelnasser Amr, Chowdhury Andaleeb, Selim Abdulhafez
General Surgery, Liver Research Unit, Stem Cell Research Division, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
J Gastrointest Cancer. 2010 Mar;41(1):17-23. doi: 10.1007/s12029-009-9092-9.
Significant proportions of liver cirrhotic patients develop hepatocellular carcinoma and have to undergo hepatic resection. The compromised cirrhotic liver cannot withstand further removal of hepatic tissue, thus, leading to postoperative complication and death.
In this study, we enrolled 20 patients having liver cirrhosis with hepatocellular carcinoma and randomly assigned them into two groups to receive autologous stem cells or placebo.
After 3 weeks, all participants underwent liver resection and were followed for 12 weeks postoperative. We observed that the group receiving preoperative stem cell therapy had shown a significant improvement in all parameters of liver function and had no postoperative complications compared to the group treated with placebo, which showed no improvement in liver parameters and had postoperative complications.
In conclusion, autologous stem cell therapy can improve the surgical outcome in cirrhotic livers and should be considered as an adjuvant treatment in such patients undergoing hepatic resection.
相当比例的肝硬化患者会发展为肝细胞癌,必须接受肝切除术。受损的肝硬化肝脏无法承受进一步的肝组织切除,因此会导致术后并发症和死亡。
在本研究中,我们招募了20例患有肝硬化合并肝细胞癌的患者,并将他们随机分为两组,分别接受自体干细胞或安慰剂治疗。
3周后,所有参与者均接受了肝切除术,并在术后随访12周。我们观察到,与接受安慰剂治疗的组相比,接受术前干细胞治疗的组在肝功能的所有参数上均有显著改善,且无术后并发症,而接受安慰剂治疗的组肝功能参数无改善且出现了术后并发症。
总之,自体干细胞治疗可以改善肝硬化肝脏的手术效果,对于接受肝切除术的此类患者应考虑将其作为辅助治疗方法。