Carvalho Fábio Augusto de, Joyeux Henry, Coelho Júlio Cezar U, Sain-Aubert Bernard, Rouanet Philipe, Matias Jorge Eduardo Fouto
Programa de Pós-Graduação, Universidade Federal do Paraná, PR, BR.
Rev Col Bras Cir. 2009 Feb;36(1):49-55. doi: 10.1590/s0100-69912009000100010.
To analyze the hepatic volume by computerized tomography using a semiautomatic computerized program of acquisition and processing digitalized images, to follow the hepatic regeneration in swine after partial hepatectomy.
Twelve female young Landrace swine were separated in three groups according to the observation time between hepatectomy and sacrifice: G5 (5 days), G10 (10 days) and G15 (15 days). All animals were submitted to partial hepatectomy of the right lobe and followed until sacrifice, when regenerated liver was ressected. The surgical piece and the regenerated liver were weighted and submitted to tomographic volume evaluation by the software HEPATO, taking place acquisition and analysis of the tomography images in a semiautomatic way. Statistical analysis used the non-parametric Kruskal-Wallis and Wilcoxon tests.
Medium weigh of regenerated liver was G5=434,5 g, G10=449,25g and G15=486,5 g (p=0,592). The regeneration index obtained using liver weight was 83,58% (G5), 94,95% (G10) and 101,63% (G15) (p=0,197). Medium volume of regenerated liver was G5=403,58 cm(2), G10=450,88 cm(2) and G15=458,93 cm(2) (p=0,941). Liver regeneration index obtained using liver volume was 74,25% (G5), 88% (G10) and 100% (G15) (p=0,326). Liver regeneration index was not different when assessed using liver weigh or liver volume.
The liver volumetric evaluation by computerized tomography using a computerized semiautomatic program of digitalized images acquisition and processing is a trustworthy method for evaluation and following the liver regeneration in swine after partial hepatectomy.
使用数字化图像采集与处理的半自动计算机程序,通过计算机断层扫描分析肝脏体积,以追踪部分肝切除术后猪的肝脏再生情况。
根据肝切除术后至处死的观察时间,将12只雌性年轻长白猪分为三组:G5组(5天)、G10组(10天)和G15组(15天)。所有动物均接受右叶部分肝切除术,并追踪至处死,此时切除再生肝脏。对手术切除的肝脏组织和再生肝脏进行称重,并通过HEPATO软件进行断层扫描体积评估,以半自动方式进行断层图像的采集和分析。统计分析采用非参数Kruskal-Wallis检验和Wilcoxon检验。
再生肝脏的平均重量为G5组 = 434.5 g,G10组 = 449.25 g,G15组 = 486.5 g(p = 0.592)。使用肝脏重量获得的再生指数分别为83.58%(G5组)、94.95%(G10组)和101.63%(G15组)(p = 0.197)。再生肝脏的平均体积为G5组 = 403.58 cm³,G10组 = 450.88 cm³,G15组 = 458.93 cm³(p = 0.941)。使用肝脏体积获得的肝脏再生指数分别为74.25%(G5组)、88%(G10组)和100%(G15组)(p = 0.326)。使用肝脏重量或肝脏体积评估时,肝脏再生指数无差异。
使用数字化图像采集与处理的计算机半自动程序通过计算机断层扫描进行肝脏体积评估,是评估和追踪部分肝切除术后猪肝脏再生的可靠方法。