Establishment and theoretical application of a liver double artery blood supply model
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1.Hepatobiliary Surgery, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, China. 2. Andrology of Urology, Fenyang Hospital of Shanxi Province, Fenyang 032200. 3. Hepatobiliary Surgery, Huhhot First Hospital, Hohhot 010030

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R-33

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    Abstract:

    Objective An animal model of 70% partial hepatectomy + liver dual arterial blood supply (LDABS) was established. Methods Seventy-six rats were divided into a training group (n= 40) and a model group (n= 36). In the model group, 70% partial hepatectomy (left lobe and middle lobe of liver) + double artery blood supply surgery of the liver was performed under a microscope. The general status of rats was observed after surgery, and the success and 1 week survival rates were calculated. Results Through simulated surgery in the training group, the learning curve was crossed. The surgery duration of the model group was (65. 3 ± 6. 56) min, and the vascular anastomosis time was (11. 1 ± 2. 53) min. During the surgery, there were no obvious side injuries and less bleeding, of no more than 0. 8 mL, was observed. One week later, the modeling success rate was 88. 9% ( 32 / 36), and the rats were in good condition. Conclusions Surgery consisting of 70% hepatectomy + LDABS in rats under a microscope is relatively complicated. However, after a period of microsurgery training, the improvements and innovation of the surgical mode, especially vascular anastomosis and perioperative nursing, resultsed in a high success rate and strong repeatability of the model, laying the foundation for further research on its application in liver regeneration, acute liver failure, and liver transplantation.

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History
  • Received:August 13,2020
  • Revised:
  • Adopted:
  • Online: August 27,2021
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