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[大鼠原位肝移植伴动脉再吻合术——技术详述及可能失误分析]

[Orthotopic liver transplantation with arterial re-anastomosis in the rat--a detailed description of technique and analysis of possible errors].

作者信息

Hanisch E, Lemperle S, Jakobi R, Weber T, Heller K, Herrmann G

机构信息

Zentrum der Chirurgie, Johann-Wolfgang-Goethe-Universität, Frankfurt/Main.

出版信息

Langenbecks Arch Chir. 1993;378(2):73-81. doi: 10.1007/BF00202113.

Abstract

Liver transplantation (LTX) in the rat is a frequently used transplantation model. In the present study we give a detailed description of the suture technique for all anastomoses, except the bile duct, with arterialization of the transplanted liver over an aortoceliac segment to the recipient's aorta. Using this technique, we finally achieved survival rates of 80%. During the development stages, the main cause of death was an exceedingly long anhepatic time (> 20 min); later on, complications occurred only from insufficient anastomoses. The advantage of the suture technique over the cuff technique is that a more physiological anastomosis is obtained with less trauma to the recipient when using rearterialization. Despite the complicated suture technique, the anhepatic time can be well reduced to below 20 min.

摘要

大鼠肝移植(LTX)是一种常用的移植模型。在本研究中,我们详细描述了除胆管外所有吻合口的缝合技术,通过将移植肝经腹腔干段动脉化与受体主动脉相连。采用该技术,我们最终实现了80%的存活率。在发展阶段,死亡的主要原因是无肝期过长(>20分钟);后来,并发症仅由吻合不充分引起。缝合技术相对于袖套技术的优势在于,在使用再动脉化时能获得更符合生理的吻合,对受体的创伤更小。尽管缝合技术复杂,但无肝期可很好地缩短至20分钟以下。

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