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Original communication| Volume 72, ISSUE 5, P722-729, November 1972

Studies in prolonged liver preservation

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      Abstract

      A new liver perfusion preservation system has been described that provides wide flexibility in altering the many factors that may contribute to maintained viability of an excised organ. Mechanical regulation of flow, pulse profile, and pressure through two separate collapsible silicone rubber pumps (hepatic artery and portal vein) result in ability to utilize an erythrocyte-containing perfusate. Addition of adenosine triphosphate (ATP) successfully reversed some of the evidence of cellular damage (potassium leak and oxygen and glucose utilization) but did not provide sufficient viability to permit successful orthotopic transplant of the liver perfused for 24 hours. Monitoring Po2 within the liver substance was more sensitive than measurement of surface pH in the detection of hypoperfusion.
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      References

        • Belzer F.U.
        • May R.
        • Berry M.N.
        • Lee J.G.
        Short term preservation of porcine livers.
        J. Surg. Res. 1970; 10: 55
        • Birnbaum D.
        • Eiseman B.
        Laboratory evaluation of a new silicone membrane oxygcnator.
        J. Thorac. Cardiovasc. Surg. 1972; 64: 441
        • Brettschneider L.
        • Bell P.R.F.
        • Martin A.J.
        • Tarr J.S.
        • Taylor P.D.
        • Starzl T.E.
        Conservation of the liver.
        Transplant. Proc. 1969; 1: 132
        • Couch N.P.
        • Middleton M.K.
        Effect of storage temperature on the electrometric surface hydrogen ion activity of ischemic liver and heart.
        Surgery. 1968; 64: 1009
        • Groth C.G.
        • Pechet L.
        • Starzl T.E.
        Coagulation during and after orthotopic transplantation of the human liver.
        Arch. Surg. 1969; 98: 31
        • Howland W.S.
        • Ryan G.M.
        • Bettigole R.E.
        • Fortner J.G.
        Coagulation abnormalities associated with liver transplantation.
        Surgery. 1970; 68: 591
        • Humphries A.L.
        • Russel R.
        • Gregory J.
        • Carter R.H.
        • Moretz W.H.
        Hypothermic perfusion of canine kidney for 48 hours followed by transplantation.
        Am. Surg. 1964; 30: 748
        • Huntley R.
        • Bartholomew B.
        • Bielanski E.
        • Homatas J.
        • Eiseman B.
        The effect of hyperbarism on weight gain of the liver during perfusion storage.
        in: Norman J.C. Organ perfusion and preservation. Appleton-Century-Crofts, New York1968
        • Kohn P.G.
        • Newey H.
        • Smyth D.H.
        The effect of ATP on the transmural potential in rat small intestine.
        J. Physiol. (Lond.). 1970; 208: 203
        • Kornberg A.
        • Colowick S.P.
        • Kaplan W.O.
        ed. 2. Methods in enzymology. vol. 2. Academic Press, Inc, New York1955: 447
        • Krismky J.
        • Bergmeyer H.U.
        Methods of enzymatic analysis.
        in: Academic Press, Inc, New York1965: 233
        • Lemieux M.D.
        • Smith R.N.
        • Couch N.P.
        Electrometric surface pH of skeletal muscle in hypovolemia.
        Am. J. Surg. 1969; 117: 627
        • Levine R.A.
        • Lewis S.E.
        • Shulman J.
        • Washington A.
        Metabolism of cyclic adenosine 3′,5′ monophosphate-8-14C by isolated, perfused rat liver.
        J. Biol. Chem. 1969; 244: 4017
        • McCoy T.A.
        • Maxwell M.
        • Kruse P.F.
        Amino acid requirements of the Novikoff hepatoma in vitro.
        in: ed. 2. Proc. Soc. Exp. Biol. Med. 100. 1959: 115
        • Mieny C.J.
        • Moore A.R.
        • Homatas J.
        • Eiseman B.
        Homotransplantation of liver in pigs.
        S. Afr. J. Surg. 1967; 5: 109
        • Perkins H.A.
        • May R.E.
        • Belzer F.O.
        Cause of abnormal bleeding after transplantation of pig liver stored by a perfusion technique.
        Arch. Surg. 1970; 101: 63
        • Reitman S.
        • Frankel S.
        Colorimetric method for the determination of serum transaminase activity.
        Am. J. Clin. Pathol. 1957; 28: 56
        • Robertson R.D.
        • Jacob S.W.
        The preservation of intact organs.
        Adv. Surg. 1968; 3: 75
        • Sharma G.
        • Eiseman B.
        Protective effect of adenosine triphosphate in experimental hemorrhagic shock.
        in: ed. 2. Surg. Forum. 15. 1964: 27
        • Slapak M.
        • Wigmore R.A.
        • McLean L.D.
        Twenty-four hour liver preservation by the use of continuous pulsatile perfusion and hyperbaric oxygenation.
        Transplantation. 1967; 5: 1154
        • Slapak M.
        • Wigmore R.A.
        • Demers R.
        • Chandrasakeram A.K.
        • Beaudoin J.G.
        • Malan G.
        • McLean L.D.
        Asanguinous perfusion preservation of canine liver and heart using a simple manually portable apparatus.
        Transplant. Proc. 1969; 1: 147
        • Turner M.D.
        • Alican F.
        Successful 20-hour storage of the canine liver by continuous hypothermic perfusion.
        Cryobiology. 1970; 6: 293
        • Vang J.O.
        • Drapanas T.
        Metabolism of lactic acid and keto acids by the isolated perfused calf liver.
        Ann. Surg. 1966; 163: 545