米国における臓器移植の現状

After the application of the law for organ transplantation from deceased donors in Japan 10years ago, the cumulative numbers of organ procurement and liver transplantation from suchdonors have been only 61 and 44 cases, respectively so far. Over 99% of liver grafts have beenprocured from living donors in Japan, although over 95% of liver grafts are originated fromdeceased donors in the United States. As the ethical problems in organ procurement from livingdonors have been advocated worldwide recently, establishment of actual plans for increase oforgan donation from deceased donors is necessary now. For such purposes, three strategies,including positive and active donor actions form medical staffs, revision of the consent form fororgan donation, and more active participation of Japanese organ bank into donor management,could be the clue for increase in organ procurements.