Horikawa M, Nakajima Y, Kanehiro H, Nakano H
First Department of Surgery, Nara Medical University, Kashiwara, Japan.
Nihon Geka Gakkai Zasshi. 1994 Aug;95(8):512-20.
The new method of hyperthermochemotherapy by the isolated liver perfusion technique without oxygenation is developed using beagle dogs. In this study, we investigated the influence of this method on the liver and other organs. The isolated liver perfusion was performed at the rate of 75-100 ml/min through the portal vein for 30 min under the V-V bypass. Experimental groups were divided as following; Croup I (n = 5): The perfusate was lactate Ringer's solution without oxygenation and kept at 42 degrees C. Group II (n = 5), Mitomycin C (10 micrograms/ml) was added to the perfusate used in Group I. During the perfusion the liver temperature was kept at 41 degrees C. PH of the liver and AKBR returned quickly to preperfusion level after liver perfusion. In the both groups, GOT, GPT, ALP were elevated, and returned to normal range within 14 days, although GPT was significantly high until the 5th day in Group II compared with Group I. In the values of amylase, BUN and Cr., no remarkable changes were observed, and any histologic damage of the liver and other organs was not found on day 14. In conclusion, this new hyperthermochemotherapy system could be a simple and safe method, and should be applicable for clinical cases.
采用比格犬开发了一种不进行氧合的离体肝脏灌注技术的热化疗新方法。在本研究中,我们调查了该方法对肝脏和其他器官的影响。在V-V旁路下,以75-100ml/min的速率通过门静脉进行离体肝脏灌注30分钟。实验组分为以下几组;第一组(n = 5):灌注液为未氧合的乳酸林格氏液,保持在42℃。第二组(n = 5),在第一组使用的灌注液中加入丝裂霉素C(10微克/毫升)。灌注期间肝脏温度保持在41℃。肝脏灌注后肝脏的pH值和AKBR迅速恢复到灌注前水平。在两组中,GOT、GPT、ALP均升高,并在14天内恢复到正常范围,尽管与第一组相比,第二组中GPT在第5天之前显著升高。在淀粉酶、BUN和Cr的值方面,未观察到明显变化,并且在第14天未发现肝脏和其他器官的任何组织学损伤。总之,这种新的热化疗系统可能是一种简单安全的方法,应该适用于临床病例。