Institute for Laboratory Animal Science & Experimental Surgery, Faculty of Medicine, RWTH Aachen University, Aachen, Germany.
Department of Biomedical Sciences, University of Veterinary Medicine, Vienna, Austria.
PLoS One. 2021 Aug 2;16(8):e0255175. doi: 10.1371/journal.pone.0255175. eCollection 2021.
This study assessed the postoperative severity after three different visceral surgical interventions in rats by using objective parameters pertaining to various disciplines. The objective was to evaluate whether the degree of severity increases with the invasiveness of the intervention and whether this is in accordance with the EU Directive 2010/63. 136 adult male WistarHan rats were assigned to three groups: Sham-laparotomy (Sham) [7 days post-surgical survival time]; 50% partial hepatectomy (PH); 70% PH [PH groups with 1, 3, or 7 days post-surgical survival times]. Post-surgical severity assessment was performed via several multimodal assessment tools: I) model-specific score sheet focusing on body weight, general condition, spontaneous behavior, and the animals' willingness to move as well as on wound healing; II) Open Field tests evaluating the total distance and velocity an animal moved within 10 minutes and its rearing behavior during the test; III) telemetric data analyzing heart rate and blood pressure; and IV) analysis of blood (AST, ALT, and hemogram) and fecal samples (fecal corticosterone metabolites). Significant differences among the experimental groups and models were observed. We demonstrated that the Open Field test can detect significant changes in severity levels. Sham-laparotomy and removal of 50% of the liver mass were associated with comparable severity (mild-moderate); the severity parameters returned to baseline levels within seven days. Removal of 70% of the liver tissue seemed to be associated with a moderate severity grade and entailed a longer recovery period (>7 days) for complete regeneration. We recommend the use of Open Field tests as part of multimodal objective severity assessment.
本研究通过使用涉及多个学科的客观参数评估了大鼠进行三种不同内脏外科手术后的术后严重程度。目的是评估严重程度是否随干预的侵袭性而增加,以及这是否符合欧盟指令 2010/63。136 只成年雄性 WistarHan 大鼠被分为三组:假手术(Sham)[手术后 7 天的存活时间];50%部分肝切除术(PH);70%PH[PH 组手术后 1、3 或 7 天的存活时间]。通过多种多模态评估工具进行术后严重程度评估:I)针对体重、一般情况、自发行为以及动物的运动意愿和伤口愈合的特定模型评分表;II)评估动物在 10 分钟内移动的总距离和速度及其在测试期间的站立行为的开放式测试;III)遥测数据分析心率和血压;以及 IV)分析血液(AST、ALT 和全血细胞计数)和粪便样本(粪便皮质酮代谢物)。观察到实验组和模型之间存在显著差异。我们证明开放式测试可以检测到严重程度水平的显著变化。Sham 手术和 50%肝脏切除与相似的严重程度(轻度至中度)相关;严重程度参数在七天内恢复到基线水平。70%的肝脏组织切除似乎与中度严重程度相关,并需要更长的恢复期(>7 天)才能完全再生。我们建议使用开放式测试作为多模态客观严重程度评估的一部分。