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Extended Liver Resection and Hepatic Ischemia in Pigs: A New, Potentially ReversibleModel to Induce Acute Liver Failure and Study Artificial Liver Support Systems
Ist Teil von
European surgical research, 2005-12, Vol.37 (6), p.365-369
Ort / Verlag
Basel, Switzerland: S. Karger AG
Erscheinungsjahr
2005
Link zum Volltext
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Background: Extended hepatectomy is a valid model for the study of acute liver failure. Since the porcine liver is comparable in size, morphology and anatomy to the human liver, we describe a technique employing hepatic ischemia and extended liver resection to induce acute liver failure in a porcine model as a means of studying bioartificial liver support. Method: A subtotal (75–80% resection) extended left hepatectomy was performed in 7 pigs after 60 min warm ischemia of the future remnant liver. After resection, the animals were given the best supportive care and observed until death. Results: All animals died within 18–48 h, none as a result of surgical complications. Gross appearance of the liver showed severe steatosis of the right lateral lobe, and histology revealed severe coagulative necrosis of the whole lobule. Conclusion: This technique of extended liver resection after hepatic ischemia in the porcine model may be useful for studies of potentially reversible acute liver failure and experimental bioartificial support.