Höckerstedt K, Ahonen J, Korsbäck C, Nieminen J, Scheinin T M
Ann Chir Gynaecol. 1979;68(1):33-8.
Twenty-one harrier dogs underwent a standardized liver hilus dearterialization with (7) or without (14) cholecystectomy using six sham-operated dogs as controls. Seven dogs died, only one of which was in the dearterialization and cholecystectomy group. S-OCT and s-GDH were increased at 90 minutes after dearterialization. There was no statistical difference between the groups at 90 minutes. On the first day after dearterialization, the activity of s-OCT, s-GDH, s-ALAT rose significantly (p less than 0.005). The activity of s-ASAT was, however, increased to the same extent both in the dearterialized and the sham-operated animals. A normalization of the serum enzyme activities was usually seen after one week. S-ALP increased on the first day (p less than 0.005) and still higher values were noted on the seventh day after dearterialization. Cholecystectomy did not affect any of these results except mortality. Liver oxygen consumption, in vitro was unchanged throughout the experiment. The oxygen consumption of bile duct mucosal scrapings one week after dearterialization was similar to the corresponding values in the controls. The results indicate that the dearterialization leads to a definite but mild and reversible mitochondrial and cell membrane damage. The results indicate further the need of adequate controls when the effects of dearterialization on the liver are studied.
21只猎兔犬接受了标准化的肝门去动脉化手术,其中7只同时进行了胆囊切除术,14只未进行胆囊切除术,另外6只假手术犬作为对照。7只犬死亡,其中只有1只在去动脉化和胆囊切除组。去动脉化后90分钟,血清鸟氨酸氨基甲酰转移酶(S-OCT)和血清谷氨酸脱氢酶(s-GDH)升高。90分钟时两组间无统计学差异。去动脉化后第一天,S-OCT、s-GDH、血清丙氨酸氨基转移酶(s-ALAT)活性显著升高(p<0.005)。然而,去动脉化动物和假手术动物的血清天冬氨酸氨基转移酶(s-ASAT)活性升高程度相同。血清酶活性通常在一周后恢复正常。去动脉化后第一天血清碱性磷酸酶(S-ALP)升高(p<0.005),去动脉化后第七天其值更高。除死亡率外,胆囊切除术不影响任何这些结果。整个实验过程中,肝脏的体外氧耗不变。去动脉化一周后胆管黏膜刮片的氧耗与对照组相应值相似。结果表明,去动脉化导致明确但轻微且可逆的线粒体和细胞膜损伤。结果还表明,在研究去动脉化对肝脏的影响时需要充分的对照。