Abri O, Lippert H, Lorenz D, Wolff H, Kühn F
Z Exp Chir Transplant Kunstliche Organe. 1986;19(2):83-93.
Pancreatic autotransplantation is a necessary requirement for studies on the technical aspects of pancreatic grafting. In the allograft model immunological problems influences the graft survival. In 25 mongrel dogs the left limb of the pancreas was transplanted into the grain with end to side vascular anastomosis. The body and right limb of the pancreas was removed and discarded. We have compared various technique for management the exocrine pancreas section (Neoprene-injected duct; open duct technique). Currently the rate of complications in segmental pancreas autotransplantation was high especially in Neoprene injected dogs. Reasons for this result from technical failures like venous thrombosis and pancreatitis. In every case it was possible to ameliorate the diabetes mellitus up to the 7th day. Histological we found dilated interlobe space up to 7 days after transplantation with open ducts and there were no signs of disturbance in the endocrine tissue. In the Neoprene-injected group we found a severe intraacinous oedema and 5 days after transplantation already a beginning fibrosis with destroyed islets of Langerhans.
胰腺自体移植是胰腺移植技术方面研究的必要条件。在同种异体移植模型中,免疫问题会影响移植物的存活。在25只杂种犬中,将胰腺的左叶移植到腹腔内,采用端侧血管吻合。胰腺的体部和右叶被切除并丢弃。我们比较了处理外分泌胰腺部分的各种技术(注入氯丁橡胶的导管;开放导管技术)。目前,节段性胰腺自体移植的并发症发生率很高,尤其是在注入氯丁橡胶的犬中。这种结果的原因是技术失败,如静脉血栓形成和胰腺炎。在每种情况下,直到第7天都有可能改善糖尿病。组织学检查发现,开放导管移植后7天内叶间间隙扩大,内分泌组织无紊乱迹象。在注入氯丁橡胶的组中,我们发现严重的腺泡内水肿,移植后5天已有朗格汉斯胰岛破坏并开始纤维化。