ドナーの抱える問題からみた生体肝移植の現状と課題

概要

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At the international level, it is usual that organ transportation is carried out from a brain-dead donor; however, an organ transportation, which is carried out from the living is fairly common in Japan. Regarding living donor organ transportation in Japan, the target persons for donors are limited due to the "Relatives Restriction"; in general, people who are close relatives as well as healthy are selected to donate. Incidentally, living donor organ transportation on the liver has been ascertained that its remedy includes serious risks for physical, mental and social to the donor; the first risk is a pressure from various sides for the target person to decide whether to be the donor or not given that organ transportation is the only remedy to save the recipient. The second risk is that people who decided to be a donor might contract some complications or have some obstacles for their rehabilitation after operation for transportation. There is no law which provides for living donor organ transportation in Japan. Therefore, in the present, the decision based on the Ethical guidelines of Japan Society of Transportation has been carried out by Ethical Review Board in each organization.At least, we need to legislate the procedures to become living donors and also need to have definite measures to protect living donors.
2012-03-26