经升主动脉灌注的无心跳供体大鼠原位肝移植模型的建立
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何建宏

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A model of orthotopic liver transplantation with grafts harvested from nonheartbeating donors by perfusion through ascending aorta in rats
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    目的:探讨建立一个能灌注更彻底、更易操作、热缺血时间容易控制的原位肝移植动物模型。方法:在Kamada 两袖套法的基础上进行改良,供体经升主动脉进行冷灌注,肝上下腔静脉用缝合法吻合,门静脉和肝下下腔静脉用袖套法吻合,胆总管采用胆管内支架端端吻合的方法。建立无心跳供体的大鼠原位肝移植模型。结果:40例移植后1 d 大鼠存活率为95.0% (38/40),1周存活率为85.5% (35/40)。 结论:经升主动脉灌注的供肝灌注更彻底、均匀,更易操作,热缺血时间控制更精准,行肝移植后1周存活率较文献报道高。

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    Objective:To investigate the establishment of a rat model of orthotopic liver transplantation with more complete and easier performance of graft perfusion and easier control of warm ischemic time. Methods:A modification of Kamada twocuff method was used. Cold perfusion of donor livers was done through the ascending aorta. Suture anastomosis of suprahepatic vena cava was performed. Infrahepatic vena cava and portal vein anastomoses were done by the cuff technique. The bile duct was anastomosed with internal stent. The nonheartbeating donor(NHBD) graft model of orthotopic liver transplantation in rats was thus established.Results:The survival rate of recipients grafted from NHBD with perfusion of ascending aorta was 95% (38/40) for 1 day and 85.5% (35/40) for 7 days. Conclusions:The livers of NHBD as grafts harvested with perfusion through ascending aorta had more complete and homogeneous perfusion, perfusion was easier to perform and warm ischemia time was more accurately controlled. The oneweek posttransplantion survival rate was longer than that reported in the literature.

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何建宏.经升主动脉灌注的无心跳供体大鼠原位肝移植模型的建立[J].中国普通外科杂志,2005,14(7):4-.
DOI:10.7659/j. issn.1005-6947.2005.07.004

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  • 在线发布日期: 2005-07-25