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[犬自体异位部分胰腺移植中不同引流方法的探讨]

[Autologous heterotopic partial transplantation of the pancreas in the dogs with reference to different drainage methods].

作者信息

Abri O, Lippert H, Lorenz D, Wolff H, Kühn F

出版信息

Z Exp Chir Transplant Kunstliche Organe. 1986;19(2):83-93.

PMID:3524042
Abstract

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.

摘要

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。

相似文献

1
[Autologous heterotopic partial transplantation of the pancreas in the dogs with reference to different drainage methods].[犬自体异位部分胰腺移植中不同引流方法的探讨]
Z Exp Chir Transplant Kunstliche Organe. 1986;19(2):83-93.
2
[Allogeneic segmental heterotopic pancreas transplantation in the dog with reference to various drainage technics].
Zentralbl Chir. 1985;110(13):821-34.
3
Allogeneic segmental pancreas transplantation in diabetic dogs with and without occlusion of the pancreatic duct.在伴有或不伴有胰管阻塞的糖尿病犬中进行同种异体节段性胰腺移植。
Horm Metab Res Suppl. 1983(13):16-9.
4
Beta-cell response and insulin sensitivity after segmental pancreatic autotransplantation with systemic venous drainage.采用全身静脉引流的节段性胰腺自体移植后的β细胞反应和胰岛素敏感性。
Life Support Syst. 1985;3 Suppl 1:701-6.
5
A comparison of ductal management techniques in an in situ canine pancreas model.原位犬胰腺模型中导管管理技术的比较
Arch Surg. 1984 Jul;119(7):829-32. doi: 10.1001/archsurg.1984.01390190067015.
6
Evaluation of techniques of controlling exocrine drainage after segmental pancreatectomy in dogs. Implications for pancreatic transplantation.
Arch Surg. 1985 Oct;120(10):1132-7. doi: 10.1001/archsurg.1985.01390340030005.
7
Pancreas autotransplantation in pig with systemic or portal venous drainage. Effect on the endocrine pancreatic function after transplantation.猪胰腺自体移植的体循环或门静脉引流。移植后对胰腺内分泌功能的影响。
Transplantation. 1996 Apr 15;61(7):1004-9. doi: 10.1097/00007890-199604150-00003.
8
Insulin release from isolated islets of Langerhans after segmental-pancreas autotransplantation in dogs.犬节段性胰腺自体移植后分离的胰岛释放胰岛素的情况。
Diabetes. 1989 Jan;38 Suppl 1:117-9. doi: 10.2337/diab.38.1.s117.
9
[Pancreatic duct occlusion compared with intraperitoneal secretion drainage after partial pancreatic resection in the dog].
Z Exp Chir Transplant Kunstliche Organe. 1986;19(2):66-82.
10
Pathology of the pancreas after intraductal neoprene injection in dogs and diabetic patients treated by pancreatic transplantation.犬及接受胰腺移植治疗的糖尿病患者经导管内注射氯丁橡胶后胰腺的病理学变化
Diabetologia. 1983 Aug;25(2):97-107. doi: 10.1007/BF00250896.