[Orthotopic liver transplantation with arterial re-anastomosis in the rat--a detailed description of technique and analysis of possible errors].
Liver transplantation (LTX) in the rat is a frequently used transplantation model. In the present study we give a detailed description of the suture technique for all anastomoses, except the bile duct, with arterialization of the transplanted liver over an aortoceliac segment to the recipient's aorta. Using this technique, we finally achieved survival rates of 80%. During the development stages, the main cause of death was an exceedingly long anhepatic time (> 20 min); later on, complications occurred only from insufficient anastomoses. The advantage of the suture technique over the cuff technique is that a more physiological anastomosis is obtained with less trauma to the recipient when using rearterialization. Despite the complicated suture technique, the anhepatic time can be well reduced to below 20 min.
Hanisch
E
E
Zentrum der Chirurgie, Johann-Wolfgang-Goethe-Universität, Frankfurt/Main.
Lemperle
S
S
Jakobi
R
R
Weber
T
T
Heller
K
K
Herrmann
G
G
D000714:Anastomosis, Surgical / Q000379:methods*; D000818:Animals; D006085:Graft Survival / Q000502:physiology; D006498:Hepatectomy / Q000379:methods; D008099:Liver / Q000098:blood supply* / Q000473:pathology; D016031:Liver Transplantation / Q000379:methods* / Q000473:pathology; D008866:Microsurgery / Q000379:methods*; D009131:Muscle, Smooth, Vascular / Q000601:surgery; D051381:Rats; D011917:Rats, Inbred Lew; D017207:Rats, Sprague-Dawley; D013529:Surgical Wound Dehiscence / Q000473:pathology; D013536:Suture Techniques
Die orthotope Lebertransplantation mit arteriellem Wiederanschluss bei der Ratte--eine detaillierte Beschreibung der Technik und Analyse von Fehlerquellen.