Effect of controlled hypotension at the beginning of reperfusion on ischemia-reperfusion injury of liver in patients undergoing hepatectomy
10.3760/cma.j.issn.0254-1416.2011.06.024
- VernacularTitle:再灌注初期控制性降压对肝叶切除术病人肝缺血再灌注损伤的影响
- Author:
Xinhuan NIU
;
Mengyuan ZHANG
;
Yanbing XU
;
Gongming WANG
- Publication Type:Journal Article
- Keywords:
Hypotension,controlled;
Reperfusion injury;
Liver
- From:
Chinese Journal of Anesthesiology
2011;31(6):732-734
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of controlled hypotension at the beginning of reperfusion on ischemia-reperfusion (I/R) injury of the liver in patients undergoing hepatectomy. Methods Forty ASA Ⅱ or Ⅲ patients aged 30-60 yr weighing 40-70 kg undergoing elective partial hepatectomy for liver cancer were randomly divided into 2 groups ( n = 20 each): group C normal BP and group H controlled hypotension. Hepatic portal was occluded during operation. In group C normal BP was maintained during reperfusion while in group H controlled hypotension (MAP was maintained at 60-70 mm Hg) was performed for 10 min since the beginning of reperfusion.Venous blood samples were taken before hepatic ischemia (T0 ,baseline) and at 15 min of ischemia (T1) and 25 min of reperfnsion (T2 ) for determination of plasma endothelin (ET), nitric oxide(NO), TNF-α and IL-1 concentrations. Results I/R of the liver led to significant increase in plasma ET, TNF-α and IL-1 concentrations and decrease in plasma NO concentration at T1,2 as compared with the baseline values at T0 in both groups. Plasma ET,TNF-α and IL- 1 concentrations were significantly lower while plasma NO concentration was significantly higher at T2 in group H than in group C. Conclusion Ten minutes controlled hypotension in the initial stage of reperfusion can attenuate I/R-induced injury to the liver in patients undergoing hepatectomy by balancing ET with NO and inhibiting inflammation response.
