Replacement of the main bile duct by bioprosthesis in an experimental porcine model (24-month results).

Autor:	Montalvo-Javé EE; Hepato Pancreato and Biliary Clinic, Department of General Surgery, 'Hospital General de Mexico', Dr. Eduardo Liceaga, Mexico City, Mexico; Department of Surgery, Faculty of Medicine, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico; Obesity and Digestive Diseases Unit, Medica Sur Clinic & Foundation, Mexico City, Mexico. Electronic address: montalvoeduardo@hotmail.com., León-Mancilla B; Department of Surgery, Faculty of Medicine, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico., Espejel-Deloiza M; Department of Surgery, Faculty of Medicine, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico., Chernizky J; Department of Surgery, Faculty of Medicine, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico., Valderrama-Treviño A; Department of Surgery, Faculty of Medicine, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico., Piña-Barba MC; Biomaterials Laboratory, Materials Research Institute, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico., Montalvo-Arenas C; Department of Cell and Tissue Biology, Faculty of Medicine, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico., Gutiérrez-Banda C; Department of Surgery, Faculty of Medicine, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico., Dorantes-Heredia R; Anatomical Pathology Department, Medica Sur Hospital and Clinical Foundation, Mexico City, Mexico., Nuño-Lámbarri N; Traslational Research Unit, Medica Sur Clinic & Foundation, Mexico City, Mexico; Department of Surgery, Faculty of Medicine, The National Autonomous University of Mexico (UNAM), Mexico City, Mexico. Electronic address: nlambarri@gmail.com.
Jazyk:	angličtina
Zdroj:	HPB : the official journal of the International Hepato Pancreato Biliary Association [HPB (Oxford)] 2024 Oct 30. Date of Electronic Publication: 2024 Oct 30.
DOI:	10.1016/j.hpb.2024.10.009
Abstrakt:	Background: Cholecystectomy for conditions like iatrogenic injury during cholecystectomy can lead to complications such as bile duct injuries, necessitating alternative options like bioprosthesis. Methods: This study evaluated a bioprosthesis's efficacy in maintaining bile duct continuity over 24 months in 16 male pigs. Results: The bioprosthesis was implanted in the common bile duct of three-month-old animals, with follow-ups at 1, 6, 12, 18, and 24 months. Liver function remained stable, and biliary permeability was assessed through various imaging techniques. Despite mild stenosis, biliary flow was unimpeded. Histological analysis confirmed biliary epithelium presence in the regenerated area. Conclusion: The bioprosthesis acted as a scaffold for tissue regeneration without compromising biliary function. Remnants of the bioprosthesis were observed but did not affect biliary excretion in the 24-month porcine model. This study highlights the bioprosthesis's potential in bile duct reconstruction, offering a safe and effective option for maintaining biliary continuity. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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