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使用生物可吸收聚合物通过组织工程再生肝外胆管。

Regeneration of extrahepatic bile ducts by tissue engineering with a bioabsorbable polymer.

作者信息

Miyazawa Mitsuo, Aikawa Masayasu, Okada Katsuya, Toshimitsu Yasuko, Okamoto Kojun, Koyama Isamu, Ikada Yoshito

机构信息

Department of Surgery, Gastrointestinal Center, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan.

出版信息

J Artif Organs. 2012 Mar;15(1):26-31. doi: 10.1007/s10047-011-0590-8. Epub 2011 Jul 23.

Abstract

With the widespread adoption of laparoscopic cholecystectomy and living-donor liver transplantation in recent years, complications involving the biliary system, stenosis in particular, are increasing. Various invasive and non-invasive techniques are now available for the treatment of biliary stenosis, but all are compromised by a high risk of recurrence and other problems. As a potential solution, our group has developed a bioabsorbable polymer (BAP) tube for implantation as a bypass graft. In the study reported here, we implanted this BAP tube and confirmed bile duct regeneration at the graft site after the tube had been degraded and absorbed into the body. We briefly describe our findings on extrahepatic biliary tissue regeneration, focusing on the possibility of its clinical application. This artificial bile duct may promote the development of novel treatments for biliary disease.

摘要

近年来,随着腹腔镜胆囊切除术和活体供肝移植的广泛应用,涉及胆道系统的并发症,尤其是狭窄,正在增加。目前有各种侵入性和非侵入性技术可用于治疗胆道狭窄,但所有这些技术都因复发风险高和其他问题而受到影响。作为一种潜在的解决方案,我们团队开发了一种可生物吸收聚合物(BAP)管,用于作为旁路移植物植入。在本文报道的研究中,我们植入了这种BAP管,并在该管降解并被身体吸收后,证实了移植部位的胆管再生。我们简要描述了关于肝外胆道组织再生的研究结果,重点关注其临床应用的可能性。这种人工胆管可能会促进胆道疾病新治疗方法的发展。

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