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Title: Transplantation of adipose tissue-derived stem cell sheet to reduce leakage after partial colectomy in a rat model
Authors: Panithi Sukho
Geesien S.A. Boersema
Nicole Kops
Johan F. Lange
Jolle Kirpensteijn
Jan Willem Hesselink
Yvonne M. Bastiaansen-Jenniskens
Femke Verseijden
Departement Geneeskunde van Gezelschapsdieren, Universiteit Utrecht
Erasmus University Medical Center
Mahidol University
Hill's Pet Nutrition Inc.
Keywords: Biochemistry, Genetics and Molecular Biology;Chemical Engineering;Immunology and Microbiology;Neuroscience
Issue Date: 11-Aug-2018
Citation: Journal of Visualized Experiments. Vol.2018, No.138 (2018)
Abstract: © 2018 Journal of Visualized Experiments. Anastomotic leakage is a disastrous complication after colorectal surgery. Although current methods for leakage prevention have different levels of clinical efficacy, they are until now imperfect solutions. Stem cell therapy using ASC sheets could provide a solution to this problem. ASCs are considered as promising candidates for promoting tissue healing because of their trophic and immunomodulatory properties. Here, we provide methods to produce high-density ASC sheets, that are transplanted onto a colorectal anastomosis in a rat model to reduce the leakage. ASCs formed cell sheets in thermo-responsive culture dishes that could be easily detached. On the day of the transplantation, a partial colectomy with a 5-suture colorectal anastomosis was performed. Animals were immediately transplanted with 1 ASC sheet per rat. ASC sheets adhered spontaneously to the anastomosis without any glue, suture, or any biomaterial. Animal groups were sacrificed 3 and 7 days postoperatively. Compared to transplanted animals, the incidence of anastomotic abscesses and leakage was higher in control animals. In our model, the transplantation of ASC sheets after colorectal anastomosis was successful and associated with a lower leakage rate.
ISSN: 1940087X
Appears in Collections:Scopus 2018

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