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APOPTOSIS AND DNA CHANGES IN HEPATOCYTES AFTER SELECTIVE PORTAL VEIN EMBOLIZATION; CONTROLLED EXPERIMENTAL STUDY

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Last updated: 29 Dec 2024

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Abstract

Introduction: Extensive hepatic resection could be done by performing pre-operative portal vein embolization (PVE), to 
induce compensatory hypertrophy in the predicted remnant liver. The aim of this study is to evaluate the effect of selective (PVE) on hepatocytes. 
Methods: The study was done on 23 adult Shin Sheila rabbits, embolization of the lateral right branch of the portal vein 
using Histoacryl was done. The animals were divided into 2 groups: (group-A) ; 12 animals sacrificed in < 30 days and (groupB); 11animals sacrificed between 30 to 60 days. Biopsies were taken from embolized (E) and non embolized (NE) lobes and examined . 
Results: Degeneration was remarkable in (E) lobe in (group-A), while it was not noticeable in (group-B). Regeneration was evident in (E) lobe in (group-B). Proliferation occurred in (NE) lobes in (group-A) in the (NE) lobes. Regeneration was marked in (group-B) in the (E) lobe. Morphometric DNA study showed apoptosis in the (E) lobe of (group-A) were more than in the (NE) lobes while in (group-B) they were nearly the same in both lobes. 
Conclusion: PVE induce apoptotic changes in (E) lobe in the early stage this was re-compensated by increased cellular 
proliferation in late stage evident by increased in S phase fraction of DNA by image analysis study.

DOI

10.21608/ejsur.2004.373737

Keywords

Hepatic Resection, portal vein embolization, hepatocyte degeneration hepatocyte regeneration

Authors

First Name

A. H. I.

Last Name

Helmy

MiddleName

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Affiliation

Departments of General Surgery & Experimental Unit

Email

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City

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Orcid

0000-0002-3478-2990

First Name

S. A.

Last Name

Keshta

MiddleName

-

Affiliation

Departments of General Surgery & Experimental Unit

Email

-

City

-

Orcid

-

First Name

O. M.

Last Name

Hammam

MiddleName

-

Affiliation

Pathology, Theodore Bilharz Research Institute

Email

-

City

-

Orcid

-

First Name

T.

Last Name

Abou Shousha

MiddleName

-

Affiliation

Pathology, Theodore Bilharz Research Institute

Email

-

City

-

Orcid

-

Volume

23

Article Issue

4

Related Issue

49800

Issue Date

2004-10-01

Receive Date

2024-08-14

Publish Date

2004-10-01

Page Start

366

Page End

372

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_373737.html

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https://ejsur.journals.ekb.eg/service?article_code=373737

Order

373,737

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

APOPTOSIS AND DNA CHANGES IN HEPATOCYTES AFTER SELECTIVE PORTAL VEIN EMBOLIZATION; CONTROLLED EXPERIMENTAL STUDY

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Article

Created At

21 Dec 2024