Efficacy and safety of pancreas freezing
10.3760/cma.j.issn.1674-1935.2010.02.017
- VernacularTitle:胰腺冷冻有效性和安全性的实验研究
- Author:
Dawei QIU
;
Lizhi NIU
;
Feng MU
;
Xiang PENG
;
Liang ZHOU
;
Haibo LI
;
Rongrong LI
;
Kecheng XU
;
Jiazan NI
;
Lingzhi JIANG
;
Yize HU
;
Zhuofang HAO
- Publication Type:Journal Article
- Keywords:
Pancreas neoplasms;
Cryotherapy;
Animal experimentation;
Efficacy;
Safety
- From:
Chinese Journal of Pancreatology
2010;10(2):124-127
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the blood biochemical and histological changes before and after pancreas freezing, to provide evidence for cryosurgery for pancreatic cancer. Methods Fifteen healthy pigs were divided into deep frozen group (n = 5), shallow frozen group (n = 5), non-frozen group (n = 3) and normal group (n = 2). After anesthesia and Iaparotomy, a probe of the Argon-Helium Surgical System was inserted into the pancreas, 100% and 10% argon output power were used in deep and shallow frozen group, respectively;and the temperature were - 130 ～ - 140℃ and - 110 ～ - 120℃, respectively;which results in an ice-ball with 15 ～ 20 mm in diameter. Then helium gas was inputted to increase the temperature to 10 ～ 20℃ for three minutes;then the whole process was repeated. A probe was inserted into the pancreas in the non-frozen group only and only laparotomy was performed in non-grozen group normal group and normal group. Serum amylase, IL-6, CRP levels before and after the experiment was determined;the pigs were sacrificed at day 7 and the pancreas was harvested for light microscope and electron microscope examination. Results The frozen pancreatic tissue became pitchy necrosis zone, and it could be distinguished from non-frozen tissue;there were obvious tissue necrosis in the center and para-center of frozen area, and the ultra-structure were destroyed and disappeared, mitochondria degranulation and rough endoplasmic reticulum degrannlation were observed. Serum amylase was elevated in 13 (86.7%) pigs and most returned to normal at 6th day. Serum IL-6 was slightly elevated in 5 (33.3%) pigs. There was no significant difference among all the groups in term of serum CRP. All the pigs were alive until the time of sacrifice. Conclusions Cryosurgery has affirmative fatal ablative effects on pancreatic tissue, and it is safe with no serious complications.
