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Liver regeneration after portal vein plus hepatic artery ligation performed heterochronously

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

Maraei, Sayed A. , Badawi, Afkar A. , Amer, Hesham M.

Authors

Salama, Asaad Fayrouz Aly

Accessioned

2017-04-26 12:43:04

Available

2017-04-26 12:43:04

type

M.D. Thesis

Abstract

Background /Purpose: Portal vein ligation (PVL) has been used clinically to decrease the amount of liver before surgical resection, concequently, minimizing postoperative dysfunction in the remaining hypertrophied liver lobes. To date, few reports in the literature have demonstrated the regenerative capacity of unaffected lobes following PVL plus hepatic artery ligation (HAL). This study was conducted in dogs to determine a safe and efficacious method of PVL plus HAL, focusing on liver function, The NF kuppa B (P105) labeling index. Methods: Group I: control group, where laparotomy was performed without ligation. Group II dogs were subjected to PVL of the right lateral and median branches alone (corresponding to approximately 50% total liver volume). In group III, we performed PVL and HAL of the same branches simultaneously, while in group IV, HAL was performed 48h after PVL. Dogs from each group were biopsed at 24, 48, 72, 96, and 168h after surgery. Standard serum liver functions were tested, proliferative activity in the non-ligated liver was expressed using the NF kuppa B (P1 05) labeling index. Results : Induction of the NK kuppa B (P105) labeling index showed maximum levels in group IV. However, quantitative determination of serum glutamicoxaloacetate transamininase ( GOT) showed peak levels in group III at 24h after surgery .Conclusions: From these results, we conclude that the PVL plus HAL hetrtochronous procedure is safer and more effective than PVL only. Or simultaneous PVL plus HAL. A better knowledge of the events following such heterchronous ligation should improve the clinical outcome of hepatic resection for liver diseases .

Issued

1 Jan 2006

DOI

http://dx.doi.org/10.21473/iknito-space/33687

Details

Type

Thesis

Created At

28 Jan 2023