Dg. Bolitho et al., REGENERATION AFTER IN-SITU FLUSHING OF PARTIALLY HEPATECTOMISED RAT LIVERS, South African Journal of Surgery, 33(2), 1995, pp. 78-81
The effect of various components of the transplant procedure upon the
regenerative process in reduced liver grafts is not known. In this stu
dy, partially hepatectomised rat liver remnants were flushed with 5 ml
of either Ringer's lactate, Euro Collins solution or University of Wi
sconsin solution at 4 degrees C and then 5 mi Ringer's lactate at 4 de
grees C. After partial hepatectomy alone, the peak increase in thymidi
ne kinase was measured at 24 hours (36 021 +/- 8 060 disintegrations p
er minute per milligram protein; the mitotic index was 25 +/- 7). In a
ll the groups in which the remnant was flushed, peak thymidine kinase
and mitotic index were measured at 48 hours. The pattern of ornithine
decarboxylase activity was disorganised in all groups. Flushing of the
liver remnant therefore delays the regenerative response by 24 hours.
In large animals, including humans, regeneration appears to commence
within the first 5 days after resection. A comparable delay doubling t
his time might coincide with the onset of rejection and further compro
mise liver function.