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全胰切除联合自体胰岛细胞移植的研究进展
DOI: 10.3969/j.issn.1001-5256.2023.10.033
利益冲突声明：本文不存在任何利益冲突。
作者贡献声明：李静静负责撰写论文；毛家玺、赵渊宇负责修改论文；滕飞、傅宏负责拟定写作思路；郭闻渊、毛家玺负责指导撰写文章。
Research advances in total pancreatectomy with autologous islet cell transplantation
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摘要: 自20世纪70年代以来，慢性胰腺炎患者已从全胰切除术合并自体胰岛细胞移植中获益。在过去的几十年里，随着外科技术和围手术期管理的不断改进，胰岛细胞功能、胰岛素不依赖率和患者存活率不断得到提高。本文归纳总结了自体胰岛细胞移植的术前适应证、手术操作的发展过程、术后管理监测的把控以及预后评估方面的研究进展。Abstract: Since the 1970s， patients with chronic pancreatitis （CP） have benefited from total pancreatectomy with autologous islet cell transplantation （TPAIT）. With the continuous development of surgical techniques and perioperative management over the past few decades， there have been improvements in islet cell function， insulin independence rate， and the survival rate of patients. This article summarizes the preoperative indications for TPAIT， the development of surgical operations， postoperative management and monitoring， and prognosis， so as to help clinicians learn more about TPAIT.
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Key words:
- Pancreatitis /
- Pancreatectomy /
- Islets of Langerhans Transplantation
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[1] BALDWIN XL, WILLIAMS BM, SCHROPE B, et al. What is new with total pancreatectomy and autologous islet cell transplantation? review of current progress in the field[J]. J Clin Med, 2021, 10( 10): 2123. DOI: 10.3390/jcm10102123. [2] BELLIN MD, FREEMAN ML, GELRUD A, et al. Total pancreatectomy and islet autotransplantation in chronic pancreatitis: Recommendations from PancreasFest[J]. Pancreatology, 2014, 14( 1): 27－ 35. DOI: 10.1016/j.pan.2013.10.009. [3] LI WL, FENG BZ, YANG YW, et al. Research progress on optimization strategies for microencapsulated islet transplantation[J]. Ogran Transplant, 2022, 13( 2): 258－ 265. DOI: 10.3969/j.issn.1674－7445.2022.02.016.李万里, 丰丙政, 杨玉伟, 等. 微囊化胰岛移植优化策略研究进展[J]. 器官移植, 2022, 13( 2): 258－ 265. DOI: 10.3969/j.issn.1674－7445.2022.02.016. [4] BALZANO G, MAFFI P, NANO R, et al. Autologous islet transplantation in patients requiring pancreatectomy: A broader spectrum of indications beyond chronic pancreatitis[J]. Am J Transplant, 2016, 16( 6): 1812－ 1826. DOI: 10.1111/ajt.13656. [5] ABU－EL－HAIJA M, ANAZAWA T, BEILMAN GJ, et al. The role of total pancreatectomy with islet autotransplantation in the treatment of chronic pancreatitis: A report from the International Consensus Guidelines in chronic pancreatitis[J]. Pancreatology, 2020, 20( 4): 762－ 771. DOI: 10.1016/j.pan.2020.04.005. [6] LIU Y, CHEN HW. Clinical islet transplantation: Application and challenge[J/CD]. Chin J Hepatic Surg Electron Ed, 2021, 10( 4): 352－ 356. DOI: 10.3877/cma.j.issn.2095－3232.2021.04.003.刘颖, 陈焕伟. 临床胰岛移植: 应用及挑战[J/CD]. 中华肝脏外科手术学电子杂志, 2021, 10( 4): 352－ 356. DOI: 10.3877/cma.j.issn.2095－3232.2021.04.003. [7] FAN CJ, HIROSE K, WALSH CM, et al. Laparoscopic total pancreatectomy with islet autotransplantation and intraoperative islet separation as a treatment for patients with chronic pancreatitis[J]. JAMA Surg, 2017, 152( 6): 550－ 556. DOI: 10.1001/jamasurg.2016.5707. [8] NATHAN JD, YANG Y, EATON A, et al. Surgical approach and short－term outcomes in adults and children undergoing total pancreatectomy with islet autotransplantation: A report from the Prospective Observational Study of TPIAT[J]. Pancreatology, 2022, 22( 1): 1－ 8. DOI: 10.1016/j.pan.2021.09.011. [9] POLLARD C, GRAVANTE G, WEBB M, et al. Use of the recanalised umbilical vein for islet autotransplantation following total pancreatectomy[J]. Pancreatology, 2011, 11( 2): 233－ 239. DOI: 10.1159/000324273. [10] TOLEDO－PEREYRA LH, BANDLIEN KO, GORDON DA, et al. Renal subcapsular islet cell transplantation[J]. Diabetes, 1984, 33( 9): 910－ 914. DOI: 10.2337/diabetes.33.9.910. [11] MCEACHRON KR, YANG Y, HODGES JS, et al. Performance of modified Igls criteria to evaluate islet autograft function after total pancreatectomy with islet autotransplantation－a retrospective study[J]. Transpl Int, 2021, 34( 1): 87－ 96. DOI: 10.1111/tri.13762. [12] MCEACHRON KR, POTLAPALLI N, RAYANNAVAR A, et al. Early use of continuous glucose monitoring in children and adolescents after total pancreatectomy with islet autotransplantation[J]. Pediatr Diabetes, 2021, 22( 3): 434－ 438. DOI: 10.1111/pedi.13168. [13] GOŁĘBIEWSKA JE, BACHUL PJ, FILLMAN N, et al. Assessment of simple indices based on a single fasting blood sample as a tool to estimate beta－cell function after total pancreatectomy with islet autotransplantation－ a prospective study[J]. Transpl Int, 2019, 32( 3): 280－ 290. DOI: 10.1111/tri.13364. [14] BACHUL PJ, GOŁĘBIEWSKA JE, BASTO L, et al. BETA－2 score is an early predictor of graft decline and loss of insulin independence after pancreatic islet allotransplantation[J]. Am J Transplant, 2020, 20( 3): 844－ 851. DOI: 10.1111/ajt.15645. [15] BACHUL PJ, GOLAB K, BASTO L, et al. Long－term stability of β－cell graft function after total pancreatectomy and islet autotransplantation[J]. Pancreas, 2021, 50( 1): e2－e4. DOI: 10.1097/MPA.0000000000001711. [16] TAKITA M, NAZIRUDDIN B, MATSUMOTO S, et al. Variables associated with islet yield in autologous islet cell transplantation for chronic pancreatitis[J]. Proc(Bayl Univ Med Cent), 2010, 23( 2): 115－ 120. DOI: 10.1080/08998280.2010.11928597. [17] BOUCHER AA, WASTVEDT S, HODGES JS, et al. Portal vein thrombosis may be more strongly associated with islet infusion than extreme thrombocytosis after total pancreatectomy with islet autotransplantation[J]. Transplantation, 2021, 105( 11): 2499－ 2506. DOI: 10.1097/TP.0000000000003624. [18] CHUNG WY, POLLARD CA, KUMAR R, et al. A comparison of the inflammatory response following autologous compared with allogenic islet cell transplantation[J]. Ann Transl Med, 2021, 9( 2): 98. DOI: 10.21037/atm－20－3519. [19] WITKOWSKI P, WIJKSTROM M, BACHUL PJ, et al. Targeting CXCR1/2 in the first multicenter, double－blinded, randomized trial in autologous islet transplant recipients[J]. Am J Transplant, 2021, 21( 11): 3714－ 3724. DOI: 10.1111/ajt.16695. [20] NAZIRUDDIN B, KANAK MA, CHANG CA, et al. Improved outcomes of islet autotransplant after total pancreatectomy by combined blockade of IL－1β and TNFα[J]. Am J Transplant, 2018, 18( 9): 2322－ 2329. DOI: 10.1111/ajt.14961. [21] WILLIAMS BM, BALDWIN X, VONDERAU JS, et al. Portal flow dynamics after total pancreatectomy and autologous islet cell transplantation[J]. Clin Transplant, 2020, 34( 12): e14112. DOI: 10.1111/ctr.14112. [22] DESAI CS, SZEMPRUCH KR, VONDERAU JS, et al. Anticoagulation practices in total pancreatectomy with autologous islet cell transplant patients: An international survey of clinical programs[J]. Transpl Int, 2021, 34( 3): 593－ 595. DOI: 10.1111/tri.13821. [23] SCHROPE B. Total pancreatectomy with autologous islet cell transplantation[J]. Gastrointest Endosc Clin N Am, 2018, 28( 4): 605－ 618. DOI: 10.1016/j.giec.2018.05.003. [24] ZHANG SW, YAN HX, MA XQ, et al. Effects of different routes of heparin on instant blood－mediated inflammatory reaction after portal vein islet transplantation[J]. J Cent South Univ Med Sci, 2022, 47( 1): 1－ 7. DOI: 10.11817/j.issn.1672－7347.2022.200993.张声旺, 颜海雄, 马小倩, 等. 不同路径肝素对门静脉胰岛移植术后立即经血液介导炎症反应的影响[J]. 中南大学学报(医学版), 2022, 47( 1): 1－ 7. DOI: 10.11817/j.issn.1672－7347.2022.200993. [25] BOUCHER AA, DONG M, VINKS AA, et al. Hydroxyurea pharmacokinetics in pediatric patients after total pancreatectomy with islet autotransplantation[J]. J Clin Pharmacol, 2021, 61( 4): 547－ 554. DOI: 10.1002/jcph.1759. [26] MCEACHRON KR, YANG Y, HODGES JS, et al. Alterations in enteroendocrine hormones after total pancreatectomy with islet autotransplantation[J]. Pancreas, 2020, 49( 6): 806－ 811. DOI: 10.1097/MPA.0000000000001582. [27] ROBERTSON RP. Spontaneous hypoglycemia after islet transplantation: The case for using non－hepatic sites[J]. J Clin Endocrinol Metab, 2016, 101( 10): 3571－ 3574. DOI: 10.1210/jc.2016－2850. [28] CUI HL, XU L, LU T. Association of glucagon－like peptide－1 system with the prevention and treatment of nonalcoholic fatty liver disease[J]. J Clin Hepatol, 2022, 38( 6): 1406－ 1410. DOI: 10.3969/j.issn.1001－5256.2022.06.039.崔泓亮, 徐立, 鲁彤. 胰高血糖素样肽1系统与非酒精性脂肪性肝病防治的关系[J]. 临床肝胆病杂志, 2022, 38( 6): 1406－ 1410. DOI: 10.3969/j.issn.1001－5256.2022.06.039. [29] DHIR G, CUSI K. Glucagon like peptide－1 receptor agonists for the management of obesity and non－alcoholic fatty liver disease: A novel therapeutic option[J]. J Investig Med, 2018, 66( 1): 7－ 10. DOI: 10.1136/jim－2017－000554. [30] HE LP, SONG YX, ZHU T, et al. Progress in the relationship between vitamin D deficiency and the incidence of type 1 diabetes mellitus in children[J]. J Diabetes Res, 2022, 2022: 5953562. DOI: 10.1155/2022/5953562. [31] MCEACHRON KR, DOWNS EM, SCHWARZENBERG SJ, et al. Fat－soluble vitamin deficiency is common in children with chronic pancreatitis undergoing total pancreatectomy with islet autotransplantation[J]. J Pediatr Gastroenterol Nutr, 2021, 72( 1): 123－ 126. DOI: 10.1097/MPG.0000000000002950. [32] NANNO Y, WASTVEDT S, FREEMAN ML, et al. Metabolic measures before surgery and long－term diabetes outcomes in recipients of total pancreatectomy and islet autotransplantation[J]. Am J Transplant, 2021, 21( 10): 3411－ 3420. DOI: 10.1111/ajt.16573. [33] BRAMIS K, GORDON－WEEKS AN, FRIEND PJ, et al. Systematic review of total pancreatectomy and islet autotransplantation for chronic pancreatitis[J]. Br J Surg, 2012, 99( 6): 761－ 766. DOI: 10.1002/bjs.8713. [34] HARINDHANAVUDHI T, YANG Y, HODGES JS, et al. Body composition is associated with islet function after pancreatectomy and islet autotransplantation for pancreatitis[J]. J Clin Endocrinol Metab, 2021, 106( 2): e496－e506. DOI: 10.1210/clinem/dgaa790. [35] FURBETTA N, COMANDATORE A, GIANARDI D, et al. Perioperative nutritional aspects in total pancreatectomy: A comprehensive review of the literature[J]. Nutrients, 2021, 13( 6): 1765. DOI: 10.3390/nu13061765. [36] DESAI CS, KHAN KM, MA XB, et al. Effect of liver histopathology on islet cell engraftment in the model mimicking autologous islet cell transplantation[J]. Islets, 2017, 9( 6): 140－ 149. DOI: 10.1080/19382014.2017.1356558. [37] GRYBOWSKI D, BACHUL PJ, PYDA JS, et al. Pain resolution and glucose control in pediatric patients with chronic pancreatitis after total pancreatectomy with islet auto－transplantation[J]. Pediatr Surg Int, 2021, 37( 10): 1383－ 1392. DOI: 10.1007/s00383－021－04956－5. [38] SOLOMINA J, GOŁĘBIEWSKA J, KIJEK MR, et al. Pain control, glucose control, and quality of life in patients with chronic pancreatitis after total pancreatectomy with islet autotransplantation: A preliminary report[J]. Transplant Proc, 2017, 49( 10): 2333－ 2339. DOI: 10.1016/j.transproceed.2017.10.010. [39] CHINNAKOTLA S, BELLIN MD, SCHWARZENBERG SJ, et al. Total pancreatectomy and islet autotransplantation in children for chronic pancreatitis: Indication, surgical techniques, postoperative management, and long－term outcomes[J]. Ann Surg, 2014, 260( 1): 56－ 64. DOI: 10.1097/SLA.0000000000000569. [40] CHINNAKOTLA S, BEILMAN GJ, DUNN TB, et al. Factors predicting outcomes after a total pancreatectomy and islet autotransplantation lessons learned from over 500 cases[J]. Ann Surg, 2015, 262( 4): 610－ 622. DOI: 10.1097/SLA.0000000000001453. [41] SHAHBAZOV R, NAZIRUDDIN B, YADAV K, et al. Risk factors for early readmission after total pancreatectomy and islet auto transplantation[J]. HPB, 2018, 20( 2): 166－ 174. DOI: 10.1016/j.hpb.2017.08.033. [42] BUTTERFIELD JT, VAKAYIL VR, JOPPRU K, et al. Factors associated with morbidity following total pancreatectomy and islet autotransplantation: A NSQIP analysis[J]. Transplant Proc, 2021, 53( 2): 705－ 711. DOI: 10.1016/j.transproceed.2020.11.013. [43] WRAY CJ, AHMAD SA, LOWY AM, et al. Clinical significance of bacterial cultures from 28 autologous islet cell transplant solutions[J]. Pancreatology, 2005, 5( 6): 562－ 569. DOI: 10.1159/000087498. [44] GREGORY SH, COUSENS LP, van ROOIJEN N, et al. Complementary adhesion molecules promote neutrophil－Kupffer cell interaction and the elimination of bacteria taken up by the liver[J]. J Immunol, 2002, 168( 1): 308－ 315. DOI: 10.4049/jimmunol.168.1.308. [45] WOOD RP, MELENDEZ T, LANGNAS AN, et al. The viability of microorganisms in preservation solutions[J]. Transplantation, 1991, 51( 1): 239－ 241. DOI: 10.1097/00007890－199101000－00039. [46] KOTAGAL M, SLUSHER J, AHMAD S, et al. In－hospital and 90－day outcomes after total pancreatectomy with islet autotransplantation for pediatric chronic and acute recurrent pancreatitis[J]. Am J Transplant, 2019, 19( 4): 1187－ 1194. DOI: 10.1111/ajt.15150. -
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