Aims: Experimental animal studies are necessary if the results of minimally
invasive oncological surgery are to be improved. In particular the influen
ce of surgical technique on tumour implantation needs further assessment. S
mall animals such as rodents are inappropriate for such laparoscopic surgic
al studies. There is a requirement for another animal tumour model with ani
mals greater in size.
Methods: Accordingly we developed an intraperitoneal tumour xenograft survi
val model using the domesticated pig. After creating a 12 mmHg pneumoperito
neum, 10(7) human HeLa cells were injected into the peritoneal cavity of ni
ne non-syngeneic animals to induce tumour xenograft. Resection of the sigmo
id colon using four trocars and a transanal double-stapling technique was p
erformed. The mean operating time was 69 min. No signs of post-operative pa
in symptoms were observed, and all the animals survived the procedure and g
ained weight. After 4 weeks, the animals were sacrified and all incision si
tes and anastomoses were excised.
Results: Immunohistochemical staining with antihuman pancytokeratin antibod
ies confirmed tumour implants in 25 out of 36 port-sites (63.8%). No perito
neal carcinosis nor tumour implants at anastomosis sites were observed.
Conclusion: This intraperitoneal xenograft tumour model in the pig can be a
pplied in survival studies to check the quality of surgical techniques and
its influence on tumour implantation following laparoscopy for cancer. (C)
2000 Harcourt Publishers Ltd.