Liu BC, Cheng MR, Lang L, Li L, Si YH, Li AJ, Xu Q, Zhang H. Autologous bone marrow infusion via portal vein combined with splenectomy for decompensated liver cirrhosis: A retrospective study. World J Gastrointest Surg 2023; 15(9): 1919-1931 [PMID: 37901728 DOI: 10.4240/wjgs.v15.i9.1919]
Corresponding Author of This Article
Bao-Chi Liu, Doctor, MD, Chief Physician, Department of Surgery, Shanghai Public Health Clinical Center, Fudan University, No. 2901 Caolang Road, Jinshan District, Shanghai 201508, China. liubaochi200227@aliyun.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Sep 27, 2023; 15(9): 1919-1931 Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1919
Table 1 Comparison of general baseline data between control and intervention groups
Group
Sex (M/F)
Age (yr)
Etiology
Child-Pugh grade
Hepatitis B cirrhosis
Alcoholic cirrhosis
Hepatitis C cirrhosis
Schistosomiasis cirrhosis
B
C
Control
27/13
47.53 ± 9.21
30
1
6
3
36
4
Intervention
25/18
47.53 ± 8.51
30
3
5
5
41
2
χ2/t
0.428
0.000
1.484
0.266
P value
0.513
0.999
0.686
0.606
Table 2 Serum prothrombin time levels in control and intervention groups before and after autologous bone marrow infusion
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
19.42 ± 3.95
17.55 ± 2.42
5.603/0.000
16.16 ± 1.82
5.811/0.000
15.26 ± 1.81
8.008/0.000
14.42 ± 1.80
9.909/0.000
Intervention
19.50 ± 3.89
17.55 ± 2.39
6.053/0.000
16.15 ± 2.13
8.780/0.000
15.13 ± 2.03
10.528/0.000
14.43 ± 2.10
11.755/0.000
t
0.089
0.005
0.018
0.317
0.009
P value
0.929
0.996
0.986
0.752
0.993
Table 3 Serum albumin levels in control and intervention groups before and after autologous bone marrow infusion (mean ± SD, g/L)
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
29.45 ± 4.26
35.05 ± 3.45
16.560/0.000
37.13 ± 3.20
12.024/0.000
39.55 ± 2.33
14.535/0.000
40.24 ± 2.24
18.460/0.000
Intervention
29.38 ± 4.16
34.83 ± 3.54
17.465/0.000
36.85 ± 3.70
18.241/0.000
38.25 ± 3.97
17.519/0.000
39.53 ± 3.28
19.131/0.000
t
0.076
0.287
0.359
0.980
1.114
P value
0.940
0.775
0.721
0.330
0.369
Table 4 The serum total bilirubin levels in control and intervention groups before and after autologous bone marrow infusion
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
44.89 ± 20.56
35.11 ± 15.20
6.536/0.000
29.95 ± 12.69
7.379/0.000
27.26 ± 11.77
7.896/0.000
24.29 ± 8.57
8.255/0.000
Intervention
42.90 ± 19.77
31.48 ± 14.12
7.534/0.000
27.58 ± 12.55
9.014/0.000
26.05 ± 11.02
9.021/0.000
23.65 ± 8.44
9.120/0.000
t
0.437
1.093
0.830
0.470
0.332
P value
0.663
0.278
0.409
0.640
0.741
Table 5 Ascites volume in control and intervention groups before and after autologous bone marrow infusion
Group
Before
1 mo
Z/P value
3 mo
Z/P value
6 mo
Z/P value
12 mo
Z/P value
Control
3000 (1500-4125)
1000 (0-2000)
5.386/0.000
500 (0-1500)
5.388/0.000
250 (0-1125)
5.392/0.000
0 (0-1000)
5.394/0.000
Intervention
3000 (1500-4000)
750 (0-1875)
5.519/0.000
0 (0-500)
5.519/0.000
0 (0-500)
5.525/0.000
0 (0-500)
5.457/0.000
Z
0.226
0.780
1.379
1.353
1.374
P value
0.790
0.436
0.168
0.176
0.170
Table 6 Comparison of model for end-stage liver disease scores in two groups before and after autologous bone marrow infusion
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
21.53 ± 6.17
18.87 ± 5.09
2.050/0.044
17.73 ± 6.42
2.631/0.010
13.76 ± 5.51
5.790/0.000
12.58 ± 4.64
7.147/0.000
Intervention
22.61 ± 5.61
18.92 ± 4.85
3.147/0.002
16.67 ± 5.75
4.677/0.000
15.42 ± 5.61
5.732/0.000
11.94 ± 5.00
8.980/0.000
t
0.804
0.044
0.770
1.325
0.577
P value
0.424
0.965
0.443
0.189
0.566
Table 7 Comparison of white blood cell in control and intervention groups before and after autologous bone marrow infusion
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
3.14 ± 0.76
5.17 ± 1.32
12.975/0.000
3.42 ± 0.98
3.363/0.002
3.27 ± 0.93
2.311/0.026
3.33 ± 0.82
3.505/0.001
Intervention
3.20 ± 1.17
8.00 ± 1.28
23.457/0.000
6.44 ± 1.54
11.474/0.000
6.15 ± 1.37
13.409/0.000
5.89 ± 0.97
13.776/0.000
t
0.258
9.625
10.211
10.768
12.531
P value
0.797
0.000
0.000
0.000
0.000
Table 8 Comparison of platelet counts in control and intervention groups before and after autologous bone marrow infusion
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
42.82 ± 12.66
44.64 ± 13.08
2.776/0.009
45.79 ± 12.67
3.433/0.001
47.45 ± 12.02
5.037/0.000
49.26 ± 13.37
5.093/0.0000
Intervention
44.30 ± 13.51
231.63 ± 57.78
22.601/0.000
226.50 ± 47.92
27.006/0.000
226.68 ± 41.32
31.942/0.000
222.90 ± 39.36
32.647/0.000
t
0.500
19.475
22.503
25.719
25.812
P value
0.618
0.000
0.000
0.000
0.000
Table 9 Comparison of hemoglobin levels in control and intervention groups before and after autologous bone marrow infusion
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
94.74 ± 20.86
95.03 ± 19.39
0.387/0.701
99.47 ± 19.12
4.211/0.000
102.84 ± 18.11
6.286/0.000
104.13 ± 17.19
7.498/0.000
Intervention
97.48 ± 23.20
97.03 ± 20.19
0.394/0.696
106.70 ± 18.97
6.716/0.000
113.08 ± 16.69
9.445/0.000
117.33 ± 11.70
8.318/0.000
t
0.547
0.446
1.675
2.596
3.980
P value
0.586
0.657
0.098
0.011
0.000
Table 10 Comparison of CD4+ T cell count in control and intervention groups before and after autologous bone marrow infusion
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
432 ± 190
432 ± 183
0.384/0.703
440 ± 184
2.805/0.008
445 ± 189
5.259/0.000
447 ± 186
4.796/0.000
Intervention
436 ± 243
487 ± 227
9.029/0.000
492 ± 219
8.140/0.000
507 ± 223
10.150/0.000
510 ± 213
8.566/0.000
t
0.106
1.177
1.148
1.329
1.400
P value
0.916
0.243
0.255
0.188
0.166
Table 11 Comparison of CD8+ T cell count in control and intervention groups before and after autologous bone marrow infusion
Group
Before
1 mo
t/P value
3 mo
t/P value
6 mo
t/P value
12 mo
t/P value
Control
338 ± 210
349 ± 215
2.961/0.000
361 ± 211
4.917/0.000
363 ± 213
3.432/0.001
356 ± 204
1.092/0.282
Intervention
328 ± 210
357 ± 211
9.594/0.000
376 ± 210
10.948/0.000
396 ± 212
12.880/0.000
408 ± 207
12.709/0.000
t
0.206
0.169
0.328
0.684
1.119
P value
0.837
0.866
0.744
0.496
0.267
Citation: Liu BC, Cheng MR, Lang L, Li L, Si YH, Li AJ, Xu Q, Zhang H. Autologous bone marrow infusion via portal vein combined with splenectomy for decompensated liver cirrhosis: A retrospective study. World J Gastrointest Surg 2023; 15(9): 1919-1931