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Objective To study the prevention and treatment of postoperative complications of liver transplantation (LT). Methods According to experience of Thomas E. Starzl Transplantation Institute and the Departments of Surgery University of Pittsburgh Medical Center, we introduce the prevention and treatment of surgical complications. Results and Conclusions Intra-abdominal hemorrhage, hepatic artery thrombosis, portal vein thrombosis, bile leaks, biliary obstruction, intestinal perforation, gastrointestinal bleeding are the postoperative complications of LT which are related to the surgical technique. Rapid improvement of diagnostic assessment of the alterations from normal postoperative course, and timely intervention are very important to minimize morbidity of surgical complications and mortality .
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Objective To identify effects of bile acids on pancreatic cancer, The ultrastructure and growth of PANC-1 and MIA PaCa-2 cell lines in crude bile modified medium were studied. Methods The growth of PANC-1 and MIA PaCa-2 cells in RPMI 1640 with or without 1％, 2％ and 4％ of the purified crude bile (containing total bile acids 10.17mmol/L) was assessed for 2, 4, 6, 8d by using MTT assay to determine inhibitory rate. The cell surface and intracellular ultrastructure of PANC-1 cells was investigated by SEM and TEM at 24h and 48h, respectively. Re sults The proliferation of both cell lines in bile treated medium were greatly retarded (P ＜0.001). The inhibitory rate of 1％, 2％ and 4％ bile on Panc-1 cells in 4d were 38％, 60％ and 66％, respectively (P ＜0. 05), on MIA PaCa-2 cells at 4d were 28％, 39％ and 52％, respectively (P ＜0. 05). The cells grown in bile for 48h lost their mi crovilli, their mitochondria and other organelles became vacuolated. Conclusion The bile acids in bile has cytotoxicity on PANC-1 and MIAPACA-2 cells, which may inhibit pancreatic cancer progress in patients clinically.
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Objective To study the mechanism of 5 fluorouracil(5 FU) in the treatment of severe acute pancreatitis(SAP). Methods SD rats were randomly divided into three groups:acute pancreatitis group (AP group,n=12), 5 FU treatment group( 5 FU group,n=10),and control group (n=10). In 5 FU group,5 FU(1mg/100g) were injected immediately after AP was induced.12h after the AP was induced, blood samples were taken to determine nitric oxide(NO) and interleukin 6(IL 6). Results Compared with AP group,in 5 FU group, the survival rate increased,mean survival time prolonged,ascites volume decreased significantly,and the inflammatory mediators subsided. Conclusions NO and IL 6 may play an important role in the pathogenises of acute pancreatitis. The treatment effect of 5 FU for AP may through inhibit the inflammatory mediators.