Document Detail


Cervical heterotopic small intestinal transplantation in rats using artery sleeve anastomosis.
MedLine Citation:
PMID:  18589166     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our goal was to establish a simple and stable cervical heterotopic small intestinal transplantation (SIT) rat model that minimizes mortality. METHODS: The graft was removed en bloc consisting of small intestine, portal vein (PV), and donor superior mesenteric artery. The graft was perfused in situ and the gut lumen irrigated during the operation. The donor artery was end-to-end anastomosed to the recipient left common carotid artery using a sleeve technique, and the donor vein to the recipient right external jugular vein using a cuff technique. The proximal and distal ends of the graft were formed as cervical cutaneous stomas. RESULTS: Among 106 intestinal transplantations, 40 were a formal experimental group, displaying a survival rate of 95%. Surgery lasted 70 +/- 10 minutes. The average time for the arterial anastomosis and the venous anastomosis was 5 +/- 2 minutes and 2 +/- 1 minutes, respectively. Two rats died due to late anastomotic hemorrhage or intestinal fistula; 38 survived more than 6 months. CONCLUSION: The cervical heterotopic technique has the advantages of being easier and faster to perform with shorter cold ischemia time and higher graft survival rate as well as fewer complications.
Authors:
L Zhu; D Gong; Y Zou; Y Li; Y Wu; B Yuan; L Guan; Q Wu
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Transplantation proceedings     Volume:  40     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-30     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1645-9     Citation Subset:  IM    
Affiliation:
Department of Physiology, Dalian Medical University, Dalian, China.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods*
Animals
Intestine, Small / transplantation*
Male
Mesenteric Artery, Superior / surgery*
Models, Animal
Portal Vein / surgery*
Rats
Rats, Wistar
Renal Artery / surgery
Renal Veins / surgery
Transplantation, Heterotopic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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