Preservation of non-heart-beating donor livers in extracorporeal liver perfusion and histidine-trytophan-ketoglutarate solution

被引:0
作者
Jin Gong
机构
基金
国家高技术研究发展计划(863计划);
关键词
Extracorporeal liver perfusion; Histidine- Trytophan-Ketoglutarate solution; Non-heart-beating donor; Preservation;
D O I
暂无
中图分类号
R657.3 [肝及肝管];
学科分类号
1002 ; 100210 ;
摘要
AIM: To compare the preservation of non-heart- beating donor (NHBD) livers in cold histidine-trytophan- ketoglutarate (HTK) solution and extracorporeal liver perfusion (ECLP). METHODS: Livers harvested from health pigs were stored for 10 h in cold HTK solution (group A, n = 4) or perfused with oxygenated autologous blood at body temperature (group B, n = 4). Both groups were then tested on the circuit for 4 h. Bile production, hemodynamic parameters, hepatocyte markers and reperfusion injury of extracorporeal livers were tested in each group. Liver tissues from each group were examined at the end of reperfusion. RESULTS: At 1, 2, 3 and 4 h after reperfusion, bile production, hemodynamic parameters, hepatocyte markers and reperfusion injury of livers in group A were statistically different from those in group B (P < 0.05 or P < 0.01). CONCLUSION: ECLP is better than HTK solution to preserve NHBD livers. ECLP can assess the graft viabilitybefore liver transplantation.
引用
收藏
页码:2338 / 2342
页数:5
相关论文
共 18 条
[1]  
Modulation of liver oxidant-antioxidant system by ischemic preconditioning during ischemia/reperfusion injury in rats[J]. Guang-Jin Yuan, Zuo-Jiong Gong, Xiao-Mei Sun, Shi-Hua Zheng, Xi Li, Department of Infectious Diseases, Renmin Hospital of Wuhan University;National Key Laboratory of Virology Wuhan University, Ministry of Education, Medical School of Wuhan University, Wuhan 430060, Hubei Province, China Jin-Chun Ma, Department of Infectious Diseases, Huangshi Ai Kang Hospital, Huangshi 435000
[2]  
Ischemic Cholangiopathy After Liver Transplantation From Controlled Non–Heart-Beating Donors–A Single-Center Experience[J] . B. Kaczmarek,M.D. Manas,B.C. Jaques,D. Talbot.Transplantation Proceedings . 2007 (9)
[3]   Effects of ischemic liver preconditioning on hepatic ischemia/reperfusion injury in the rat [J].
Centurion, S. A. R. e ;
Centurion, L. M. ;
Souza, M. E. J. ;
Gomes, M. C. J. ;
Sankarankutty, A. K. ;
Mente, E. D. ;
Castro e Silva, O. .
TRANSPLANTATION PROCEEDINGS, 2007, 39 (02) :361-364
[4]   Intrahepatic biliary strictures after liver transplantation [J].
Nishida, Seigo ;
Nakamura, Noboru ;
Kadono, Jun ;
Komokata, Teruo ;
Sakata, Ryuzo ;
Madariaga, Juan R. ;
Tzakis, Andreas G. .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY, 2006, 13 (06) :511-516
[5]  
Dynamic Changes of Post-Ischemic Hepatic Microcirculation Improved by a Pre-Treatment of Phosphodiesterase-3 Inhibitor, Milrinone[J] . Makoto Kume,Ramin Banafsche,Yuzo Yamamoto,Yoshio Yamaoka,Rainer Nobiling,Martha-Maria Gebhard,Ernst Klar.Journal of Surgical Research . 2006 (2)
[6]  
The Marginal Donor: A Single-Center Experience in Orthotopic Liver Transplantation[J] . V. Scuderi,A. Ceriello,P. Maida,G. Aragiusto,G. Arenga,T. Carfora,M. Defez,A. Giuliani,G.N. Monti,W. Santaniello,F. Sicoli,F. Calise.Transplantation Proceedings . 2006 (4)
[7]  
Livers from Non–Heart-Beating Donors Tolerate Short Periods of Warm Ischemia[J] . Diethard Monbaliu,Tina Crabbé,Tania Roskams,Johan Fevery,Charles Verwaest,Jacques Pirenne.Transplantation . 2005 (9)
[8]  
Akutes Leberversagen[J] . M. Bauer,M. Paxian,A. Kortgen.Der Anaesthesist . 2004 (6)
[9]  
Assessment of liver function during extracorporeal membrane oxygenation in the non–heart beating donor swine[J] . A Rojas,L Chen,R.H Bartlett,J.D Arenas.Transplantation Proceedings . 2004 (5)
[10]  
Extracorporeal Liver Support: Waiting for the Deciding Vote[J] . Mustapha Adham.ASAIO Journal . 2003 (6)