Refined cuff technique minimizes surgical complexity in rat lung transplantation and improves outcomes


Sahin M. F., ESENDAĞLI G., YILDIRIM F., Yekeler E., KILIÇASLAN B.

Scientific reports, cilt.15, sa.1, ss.35876, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 15 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1038/s41598-025-19711-2
  • Dergi Adı: Scientific reports
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, Chemical Abstracts Core, MEDLINE, Veterinary Science Database, Directory of Open Access Journals
  • Sayfa Sayıları: ss.35876
  • Anahtar Kelimeler: Anastomosis, Cuff technique, Lung transplantation, Model modification, Rat
  • Lokman Hekim Üniversitesi Adresli: Evet

Özet

Orthotopic lung transplantation in rats serves as a pivotal platform for exploring long-term allograft outcomes, yet technical complexity has limited its widespread application. Here, we present a refined surgical model that combines structured intraoperative modifications with tailored mechanical ventilation strategies to ensure procedural consistency and biologic fidelity. Key interventions-such as a custom leak-proof endotracheal tube, a temporally controlled reperfusion maneuver, and an optimized anastomotic sequence-collectively addressed critical challenges including airway obstruction, graft impaired perfusion, and venous fragility. The protocol demonstrated a high procedural success rate and reproducible long-term survival, with histopathological analysis confirming progressive chronic remodeling and diminished acute rejection. Importantly, the technique demonstrated features that facilitate rapid acquisition, supported by a short learning curve, and was implemented using widely accessible clinical-grade materials. Together, these attributes establish a robust and scalable platform for investigating chronic lung allograft dysfunction and other long-term immunologic phenomena.