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

被引:9
作者
Gong, Jin [1 ]
Lao, Xue-Jun [1 ]
Wang, Xi-Mo [2 ]
Long, Gang [2 ]
Jiang, Tao [2 ]
Chen, Shi [3 ]
机构
[1] Jinan Univ, Dept Surg, Affiliated Hosp 1, Guangzhou 510630, Guangdong, Peoples R China
[2] Tianjin Peoples Hosp, Dept Surg, Tianjin 300120, Peoples R China
[3] Huazhong Univ Sci & Technol, Tongji Hosp, Inst Organ Transplantat, Tongji Med Coll, Wuhan 430030, Hubei Province, Peoples R China
关键词
extracorporeal liver perfusion; histidine-trytophan-ketoglutarate solution; non-heart-beating donor; preservation;
D O I
10.3748/wjg.14.2338
中图分类号
R57 [消化系及腹部疾病];
学科分类号
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 viability before liver transplantation. (c) 2008 WJG. All rights reserved.
引用
收藏
页码:2338 / 2342
页数:5
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