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Orthotopic Partial Liver Transplantation in Dogs Can Be Performed without Cold Perfusion of the Donor Liver

 

作者: Y. Tokunaga,   M. Zaima,   K. Tanaka,   A. Maki,   T. Katayama,   Y. Sakai,   H. Egawa,   T. Kiuchi,   Y. Yamamoto,   J. Ueda,   H. Lin,   Y. Kitakado,   N. Nitta,   Y. Kamiyama,   Y. Yamaoka,   K. Ozawa,  

 

期刊: European Surgical Research  (Karger Available online 1989)
卷期: Volume 21, issue 3-4  

页码: 137-144

 

ISSN:0014-312X

 

年代: 1989

 

DOI:10.1159/000129016

 

出版商: S. Karger AG

 

关键词: Orthotopic partial liver transplantation;Warm ischemia;Energy metabolism

 

数据来源: Karger

 

摘要:

To investigate the feasibility of obtaining grafts from living, genetically related adult donors without any complicated harvesting techniques, orthotopic partial liver transplantation (PLT) without cold perfusion of the donor graft was evaluated in beagles by assessing the graft viability using ketone body ratio (KBR). Ten PLT were performed under venovenous bypass. The left half of the donor liver was transected in situ followed by systemic heparinization, and immediately implanted with care taken to leave the recipient’s inferior vena cava intact, and to maintain the normothermic state without cold perfusion. Four often dogs survived for 5 days or longer (longest survival was 9 days) and died of other causes than graft dysfunction. Four others died of thromboembolitic episode, accidental bleeding or technical failure. Two dogs died of graft dysfunction. The changes in KBR in 5 dogs without fatal complications after transplantation were maintained within normal range thereafter. These results suggest that the PLT without cold perfusion of donor graft is possible from the viewpoint of energy metabolis

 

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