373152

PERIOPERATIVE INTERVENTIONS ENHANCES SURVIVAL AND LIVER REGENERATION FOLLOWING EXTENSIVE PORTAL BRANCH LIGATION OF RABBIT LIVER

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

-

Abstract

Aim: The purpose of this study was to evaluate the effect of pharmacologic interventions in preventing liver injury, enhancing liver regeneration and prolonging survival following portal vein ligation to 80% of the liver parenchyma. 
Methods: Rabbits underwent ligation of the portal vein branches to 80% liver parenchyma. One group of animals served as a control. The other group received pharmacologic interventions. Interventions consisted of postoperative oral 20% glucose supplementation to prevent postoperative hypoglycemia, perioperative low-molecular-weight heparin to prevent intrasinusoidal thrombosis and oral antibiotic to prevent bacterial translocation with their injurious effect on liver remnant and hepatocyte proliferation. Outcome measurements included serum liver function tests, glucose levels, and histological assessment of hepatocyte necrosis, apoptosis, mitosis and intrasinusoidal fibrin deposition and length of postoperative survival. 
Results: Interventions improved survival in the treated group (1.07±0.07 days versus 0.71±0.1 days). Hepatocyte necrosis (31.1±0.02 versus 51.5±0.02), apoptosis (30.4±0.02 versus 40.7 ±0.03) and intrasinusoidal fibrin deposition (5.6±0.8 versus 8.7±1.0) were significantly decreased and mitotic figures (29.1±2.7 versus 15.7±1.2) significantly increased in the treated group compared to control group. Biochemical markers of hepatocyte injury were not different among groups. 
Conclusion: Pharmacologic interventions improve survival and histological evidence of remnant liver regeneration in animals subjected to portal branch ligation to 80% of rabbit liver

DOI

10.21608/ejsur.2005.373152

Keywords

Liver regeneration. Liver failure. Bacterial translocation

Authors

First Name

Hussein

Last Name

M Atta

MiddleName

-

Affiliation

Departments of Surgery, El-Minia University

Email

-

City

-

Orcid

-

First Name

Mahmoud

Last Name

El-Rehany

MiddleName

-

Affiliation

Biochemistry, El-Minia University

Email

-

City

-

Orcid

-

First Name

Amel

Last Name

A Soliman

MiddleName

-

Affiliation

Histology, Ain Shams University

Email

-

City

-

Orcid

-

Volume

24

Article Issue

2

Related Issue

49767

Issue Date

2005-04-01

Receive Date

2024-08-11

Publish Date

2005-04-01

Page Start

100

Page End

106

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_373152.html

Detail API

https://ejsur.journals.ekb.eg/service?article_code=373152

Order

373,152

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

PERIOPERATIVE INTERVENTIONS ENHANCES SURVIVAL AND LIVER REGENERATION FOLLOWING EXTENSIVE PORTAL BRANCH LIGATION OF RABBIT LIVER

Details

Type

Article

Created At

21 Dec 2024