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A new veno-venous bypass type for ex-vivo liver resection in dogs 被引量:5

A new veno-venous bypass type for ex-vivo liver resection in dogs
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摘要 Ex-vivo liver resection is a procedure in which the liver is completely removed, perfused and after bench surgery, the liver is autotransplanted to the original site. Ex vivo liver resection is an important treatment for unresectable liver tumors. This surgical procedure requires long operation time, during which blood flow must be carefully maintained to avoid venous congestion. An effective veno-venous bypass (VVB) may meet this requirement. The present study was to test our new designed VVB device which comprised one heparinized polyvinylchloride tube and three magnetic rings The efficacy of this device was tested in five dogs. A VVB was established in 6-10 minutes. There was no leakage during the procedure. Hemodynamics was stable at anhepatic phase, which indicated that the bypass was successful. This newly-developed VVB device maintained circulation stability during ex-vivo liver resection in our dog model and thus, this VVB device significantly shortened the operation time. Ex-vivo liver resection is a procedure in which the liver is completely removed, perfused and after bench surgery, the liver is autotransplanted to the original site. Ex vivo liver resection is an important treatment for unresectable liver tumors. This surgical procedure requires long operation time, during which blood flow must be carefully maintained to avoid venous congestion. An effective veno-venous bypass (VVB) may meet this requirement. The present study was to test our new designed VVB device which comprised one heparinized polyvinylchloride tube and three magnetic rings The efficacy of this device was tested in five dogs. A VVB was established in 6-10 minutes. There was no leakage during the procedure. Hemodynamics was stable at anhepatic phase, which indicated that the bypass was successful. This newly-developed VVB device maintained circulation stability during ex-vivo liver resection in our dog model and thus, this VVB device significantly shortened the operation time.
出处 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2013年第4期436-439,共4页 国际肝胆胰疾病杂志(英文版)
基金 supported by agrant from the National Natural Science Foundation of China(30830099)
关键词 veno-venous bypass ex-vivo liver resection liver autotransplantation magnetic ring veno-venous bypass ex-vivo liver resection liver autotransplantation magnetic ring
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  • 1Pichlmayr R, Bretschneider HJ, Kirchner E, et al. Ex situ operation of the liver. A new possibility in liver surgery. Langenbecks Areh Chit,1988,373(2) :122 - 126.
  • 2Hannoun L, Balladur P, Delva E, et al. " Ex situ-in vivo" surgery of the liver: a new technique in liver surgery. Principles and preliminary results. Gastroenterol Clin Biol,1991,15(10) :758-761.
  • 3Gruttadauria S, Marsh JW, Bartlett DL, et al. Ex situ resection techniques and liver autotransplantation: last resource for otherwise unresectable malignancy. Dig Dis Sci ,2005,50(10) :1829 - 1835.
  • 4Oldhafer KJ, Lang H, Schlitt H J, et al. Long term experience after ex situ liver surgery. Surgery,2000,127 (5) :520 - 527.

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