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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Partsakhashvili, D. Chkhaidze, Z. Khodeli, N. Pilishvili, O. Jangavadze, M. Kordzaia, D. |
| Description | Country affiliation: Georgia Author Affiliation: Partsakhashvili D ( Department of Clinical Anatomy and Operative Surgerey, Faculty of Medicine, A. Natishvili Institute of Morphology, I. Jakakhishvili State University (TSU), Tbilisi, Georgia.) |
| Abstract | The impact of denervation and delymphatization (DD) on liver tissue remains a topic of major interest in liver transplantation, as the organ or its part continues to function well. Various chemical and/or surgical interventions have been developed to achieve in situ liver denervation and delymphatization, but it is evident that DD can be achieved only through 'ectomia', ie, complete isolation of the organ from adjacent and connected structures. This Study describes a liver DD model based on a technique of autotransplantation (replantation), maximally preventing ischemia in the transplanted (replanted) graft and dyscirculatory complications in the recipient. Experiments were performed on eight male mongrel dogs. Venous reservoir and roller pumps were used in a forced nontraditional bypass scheme. Autotransplantation was performed by step-by-step dissection of the suprahepatic, infrahepatic, and portal structures, leading to DD, with subsequent recovery of the blood vessel and bile duct. DD was achieved successfully with stable hemodynamic parameters during all surgery periods. All animals survived. This model of liver autotransplantation lead to DD of the organ. It was characterized by hemodynamic stability of the liver as well as of the whole body at every stage of the surgery, proffering liver DD for experimental studies. |
| File Format | HTM / HTML |
| ISSN | 00411345 |
| Issue Number | 5 |
| Volume Number | 45 |
| e-ISSN | 18732623 |
| Journal | Transplantation Proceedings |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2013-06-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Transplantation__semicolon__medicine Extracorporeal Circulation Methods Liver Transplantation Liver Innervation Animals Denervation Dogs Male Transplantation, Autologous Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Transplantation Surgery |
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