移植後のレシピエントとドナーの肝臓再生
S Kawasaki1, M Makuuchi, S Ishizone
1First Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Lancet (London, England)
|March 7, 1992
まとめ
肝臓移植では,受容者のニーズに合わせて縮小した移植物が再生されます. 移植された肝臓は,ドナーの残った肝臓よりも早く再生し,外部の調節因子を示す.
科学分野:
- 肝臓病理学 肝臓病理学
- 移植手術 移植手術について
- 再生医学は,再生医療である.
背景:
- 縮小型の肝臓移植は,生体関連の肝臓移植では一般的です.
- 移植のサイズが受容者の機能に最適ではないかもしれません.
- 肝臓の再生は,成功するために不可欠です.
研究 の 目的:
- 肝臓移植後の肝臓再生を評価するために.
- 移植体積と肝臓の標準体積の収束を評価する.
- 移植肝臓と残存肝臓の再生率を比較する.
主な方法:
- 肝臓の体積を決定するためのシリアルコンピュータトモグラフィー (CT) スキャン.
- 受信者の体表面積に基づいて肝臓の標準体積を計算する.
- 4人の小児受容体とそのドナー父親の分析.
主要な成果:
- 移植された肝臓の体積は,時間の経過とともに受容者の標準肝臓の体積に収束する傾向がありました.
- 再生は,最初の移植が標準よりも小さく,または大きくても,発生しました.
- 移植された肝臓は,ドナーの残った肝臓よりも著しく早く再生した.
結論:
- 肝臓移植の再生は,受容者の要求に応じて移植のサイズを効果的に調整します.
- 再生は主に肝細胞の外部要因の影響を受けます.
- この発見は,移植後の移植と移植後の管理の最適化に影響を及ぼします.
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