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异位植入和部分脾切除术后脾脏的再生

Regeneration of the spleen after ectopic implantation and partial splenectomy.

作者信息

Alvarez F E, Greco R S

出版信息

Arch Surg. 1980 Jun;115(6):772-5. doi: 10.1001/archsurg.1980.01380060070021.

DOI:10.1001/archsurg.1980.01380060070021
PMID:7387369
Abstract

Overwhelming postsplenectomy infection is a well-defined clinical entity resulting from the inability of the splenectomized host to combat infections with encapsulated bacteria. Because of this lethal complication, a number of alternatives to splenectomy have been studied, including autotransplantation of the removed spleen or partial splenectomy. The ability of the splenic tissue to regenerate depends on the type of procedure selected. In this study, the regenerating capacity of the splenic tissue is studied in 99 Sprague-Dawley rats. These animals were subjected to surgical autotransplantation and partial splenectomy. Our results demonstrated the superiority of partial splenectomy over autotransplantation in terms of regeneration of the splenic mass.

摘要

脾切除术后暴发性感染是一种明确的临床病症,是由于脾切除后的宿主无法抵抗包膜细菌感染所致。由于这种致命的并发症,人们研究了多种脾切除术的替代方法,包括切除脾脏的自体移植或部分脾切除术。脾组织的再生能力取决于所选的手术方式。在本研究中,对99只Sprague-Dawley大鼠的脾组织再生能力进行了研究。这些动物接受了手术自体移植和部分脾切除术。我们的结果表明,在脾质量再生方面,部分脾切除术优于自体移植。

相似文献

1
Regeneration of the spleen after ectopic implantation and partial splenectomy.异位植入和部分脾切除术后脾脏的再生
Arch Surg. 1980 Jun;115(6):772-5. doi: 10.1001/archsurg.1980.01380060070021.
2
Optimal site and amount of splenic tissue for autotransplantation.自体移植的脾脏组织的最佳部位和数量。
J Surg Res. 1992 Aug;53(2):109-16. doi: 10.1016/0022-4804(92)90021-q.
3
Splenic autotransplantation provides protection against fatal sepsis in young but not in old rats.脾自体移植可保护幼鼠免受致命性败血症的侵害,但对老年大鼠则无此作用。
J Pediatr Surg. 1992 Sep;27(9):1207-12. doi: 10.1016/0022-3468(92)90789-a.
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Splenic phagocytic function after partial splenectomy and splenic autotransplantation.部分脾切除及脾自体移植后的脾脏吞噬功能
Arch Surg. 1985 Mar;120(3):275-8. doi: 10.1001/archsurg.1985.01390270015003.
5
Relative merits of partial splenectomy, splenic reimplantation, and immunization in preventing postsplenectomy infection.脾部分切除术、脾再植术及免疫在预防脾切除术后感染中的相对优势。
Surgery. 1979 Oct;86(4):561-9.
6
[Experimental study on function of regenerated splenic tissue after splenic autotransplantation].脾自体移植后再生脾组织功能的实验研究
Nihon Geka Gakkai Zasshi. 1990 Nov;91(11):1720-30.
7
Splenic tissue autotransplantation in rabbits: no restoration of host defense.兔脾组织自体移植:宿主防御功能未恢复。
Langenbecks Arch Surg. 2003 Jan;387(9-10):379-85. doi: 10.1007/s00423-002-0334-6. Epub 2002 Dec 18.
8
Exogenous and endogenous angiogenic stimuli do not augment splenic autotransplantation.
Eur J Surg. 2002;168(4):247-50. doi: 10.1080/11024150260102870.
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IgG-mediated phagocytosis in regenerated splenic tissue.再生脾组织中的IgG介导的吞噬作用。
Clin Exp Immunol. 1994 Aug;97(2):242-7. doi: 10.1111/j.1365-2249.1994.tb06075.x.
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Splenic resection or heterotopic transplantation of splenic tissue as alternatives to splenectomy. Regeneration and protective effect against pneumococcal septicemia.脾切除术或脾组织异位移植作为脾切除的替代方法。对肺炎球菌败血症的再生及保护作用。
Eur Surg Res. 1983;15(4):217-22. doi: 10.1159/000128356.

引用本文的文献

1
Partial splenectomy in the era of minimally invasive surgery: the current laparoscopic and robotic experiences.微创手术时代的脾部分切除术:当前的腹腔镜和机器人手术经验
Surg Endosc. 2015 Dec;29(12):3618-27. doi: 10.1007/s00464-015-4118-9. Epub 2015 Mar 5.
2
A laparoscopic approach to partial splenectomy for children with hereditary spherocytosis.一种针对遗传性球形红细胞增多症患儿的腹腔镜下部分脾切除术方法。
Surg Endosc. 2006 Nov;20(11):1719-24. doi: 10.1007/s00464-006-0131-3. Epub 2006 Oct 5.
3
Laparoscopic subtotal splenectomy in hereditary spherocytosis : to preserve the upper or the lower pole of the spleen?
遗传性球形红细胞增多症的腹腔镜脾次全切除术:保留脾脏上极还是下极?
Surg Endosc. 2006 May;20(5):748-52. doi: 10.1007/s00464-005-0429-6. Epub 2006 Mar 16.
4
Endothelial-directed hepatic regeneration after partial hepatectomy.部分肝切除术后内皮细胞定向的肝再生
Ann Surg. 2003 Apr;237(4):530-5. doi: 10.1097/01.SLA.0000059986.96051.EA.
5
Methods of splenic preservation and their effect on clearance of pneumococcal bacteremia.脾脏保存方法及其对肺炎球菌菌血症清除的影响。
Ann Surg. 1985 Nov;202(5):595-9. doi: 10.1097/00000658-198511000-00010.