Abstract
Introduction: graft dysfunction after liver transplantation due to ischemia-/reperfusion injury remains a serious clinical problem although there is a marked progress in transplantation medicine. The aim of this experimental study was to compare different types of reperfusion with regard to the ischemia-/reperfusion injury. Materials and Methods: arterialised orthotopic liver transplantation (OLT) was performed in syngenic male Lewis rats. The animals were devided into 3 experimental groups: I- and II-control groups with antegrade reperfusion, III-retrograde reperfusion group. Laboratory parameters as well as histopathologic changes of the graft were evaluated 1, 24 and 48 hours after the OLT. Results: 24 hours after the OLT the GOT-values showed a significant difference between groups with antegrade/retrograde variant of reperfusion (2613,3 ± 343,9 U/l vs. 1186,4 ± 252,9 U/l; p < 0,001). The GPT- and GOT-values were significanly lower in the group III 48 hours after OLT. The histopathologic evaluation revealed a significantly lower number of necrotic areas in the group III compared to the control-groups (p < 0,002). Conclusion: our results show that the retrograde reperfusion (from the infrahepatic V. cava inferior with opening of the blood stream to the supra-hepatic V. cava inferior and to the Vv. hepaticae retrograde to the liver) has a protective effect on the graft.
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Literatur
Pokorny H, Gruenberger T, Soliman T, Rockenschaub S, Längle F, Steininger R (2000) Organ survival after primary dysfunction of liver grafts in clinical orthotopic liver transplantation. Transpl. Int 13(Suppl. 1): 154–157
Kniepeiss D, Iberer F, Schaffelner S, Jakoby E, Duller D, Tscheliesnigg KH (2003) Feasibility of a New Technique of Reperfusion in Liver Transplantation. Transplantationsmedizin 15: 47–50
Crenesse D, Laurens M, Heurteaux C, Cursio R, Saint-Paul MC, Schmid Alliana A, Gugenheim J (2003) Rat liver ischemia-reperfusion-induced apoptosis and necrosis ar decreased by FK506 pretreatment. European Journal of Pharmakology 473: 177–184
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© 2007 Springer Medizin Verlag Heidelberg
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Matevossian, E. et al. (2007). Einfluss diverser Reperfusionsarten auf den Ischämie-/Reperfusionsschaden nach orthotoper Lebertransplantation im Rattenmodell. In: Steinau, H.U., Schackert, H.K., Bauer, H. (eds) Chirurgisches Forum 2007. Deutsche Gesellschaft für Chirurgie, vol 36. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71123-0_76
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DOI: https://doi.org/10.1007/978-3-540-71123-0_76
Publisher Name: Springer, Berlin, Heidelberg
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