Recipient Deaths During Donor Surgery: A New Ethical Problem in Living Donor Liver Transplantation (Ldlt)

Liver Transplantation, Vol. 12, No. 3, pp. 358-360, March 2006

Posted: 18 Apr 2006

See all articles by Mark Siegler

Mark Siegler

University of Chicago - Pritzker School of Medicine

Mary Simmerling

Adler University; Cornell University, Weill Cornell Medical College

Jessica Siegler

Yale University

David C. Cronin

Yale University

Abstract

LDLT continues to present difficult challenges for the international transplantation community in terms of technical demands, management of complications, and ethical justification of the procedure. Criteria are still not agreed upon for donor selection, recipient selection, the amount of liver to be removed, surgical techniques and timing, and required surgeon and institutional experience. While many have argued that LDLT provides a source of livers for transplantation to a population of patients in desperate need of this life-saving operation, further clarification is needed with regard to the indications and contraindications for donor and recipient selection. In our view, two of the central ethical requirements justifying LDLT are 1) double equipoise considerations in which the risks and benefits for both donors and recipients are taken into account and 2) the ability to reallocate an orphan graft in the tragic circumstances of the intraoperative death of an intended recipient.

Suggested Citation

Siegler, Mark and Simmerling, Mary and Siegler, Jessica and Cronin, David C., Recipient Deaths During Donor Surgery: A New Ethical Problem in Living Donor Liver Transplantation (Ldlt). Liver Transplantation, Vol. 12, No. 3, pp. 358-360, March 2006, Available at SSRN: https://ssrn.com/abstract=896575

Mark Siegler (Contact Author)

University of Chicago - Pritzker School of Medicine ( email )

Chicago, IL 60637
United States

Mary Simmerling

Adler University ( email )

17 N. Dearborn
Chicago, IL 60604
United States

Cornell University, Weill Cornell Medical College ( email )

1300 York Avenue
New York, NY 10065
United States

HOME PAGE: http://https://vivo.weill.cornell.edu/display/cwid-mcs2006

Jessica Siegler

Yale University ( email )

New Haven, CT 06520
United States

David C. Cronin

Yale University ( email )

New Haven, CT 06520
United States

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