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改良腹腔多器官簇移植器官联合切取的实验研究

Experimental study of harvesting methods of modified multivisceral transplantation

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【作者】 范磊; 李元新; 郭明晓; 王凯; 王剑; 黎介寿;

【Author】 FAN Lei,LI Yuan-xin,GUO Ming-xiao,WANG Kai,WANG Jian,LI Jie-shou(Research Institute of General Surgery,Clinical School of Medical College of Nanjing University/Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 210002,Jiangsu,China)

【机构】 南京大学医学院临床医院(南京军区南京总医院)解放军普通外科研究所;

【摘要】 目的:总结和建立猪改良多器官簇移植(包括胃、十二指肠、胰腺和小肠)器官联合切取和修整的方法。方法:先游离多器官簇器官,原位低温灌注后整块切取移植物,将其置于0~4℃高渗枸橼酸盐嘌呤(HCA)液中修整和保存。结果:器官联合切取时间为(133.38±10.25)min,无热缺血时间,冷缺血时间为(198±13.66)min,器官修整时间为(32.75±4.9)min。结论:本动物实验器官联合切取方法,无热缺血时间,可获取高质量的移植器官。

【Abstract】 Objective: To establish methods of the graft harvesting and back-table procedures of modified multivisceral transplantation(including the stomach,duodenum,pancreas and small intestine) in a swine model.Methods: First,the multivisceral graft was dissected.After in-situ low-temperature perfusion,the graft was procured en bloc.Finally,it was trimmed and preserved in 0~4℃ HCA fluid.Results: The time of graft harvesting was(133.38±10.25) minutes.There was no warm ischemia time and the cold ischemia time was(198±13.66)minutes.The time of back-table procedures was(32.75±4.95)minutes.Conclusion: This organ harvesting method needs no warm ischemia time and can help harvest high quality multivisceral graft.

【基金】 国家科技支撑计划课题(2008BAI60B06)
  • 【文献出处】 肠外与肠内营养 ,Parenteral & Enteral Nutrition , 编辑部邮箱 ,2010年04期
  • 【分类号】R459.7
  • 【下载频次】68
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